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CHILDREN’S SERVICES COUNCIL OF PALM BEACH COUNTY September 10, 2015 – 5:30 p.m.

Council Meeting Agenda

Agenda Item: Reference #:

1. Call to Order

A. Invocation B. Pledge of Allegiance C. Presentations

1. Welcome Council Member Robert M. Avossa, Ed. D.

2. Certificates of Appreciation to Children’s Services Council and Strong Minds – Shelley Parker, Program Officer

2. Minutes

A. Approval of Minutes of August 6, 2015 Council Meeting 1

Recommendation: I recommend the Council approve the Minutes of the August 6, 2015 Council meeting as presented.

3. Individual Appearances – Agenda Items

4. Council Committees:

Personnel Committee Report

Finance Committee Report

5. Business/Consent Agenda

A. Consent Agenda Management

1. Additions, Deletions, Substitutions 2. Items to be pulled from Consent Agenda 3. Adoption of Consent Agenda and Walk‐In Warrants List

B. CSC Funded Programs – Current – N/A

C. CSC Funded Programs – Future – N/A

D. Planning & Development – N/A

E. Personnel – N/A

F. Financial

1. Warrants List 2

Recommendation: I recommend the Council approve the Warrants List, in accordance with the established budgets for each of the expensed items, as presented.

CHILDREN’S SERVICES COUNCIL OF PALM BEACH COUNTY Council Meeting Agenda – September 10, 2015 Council Meeting Page: 2

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G. Administration – N/A

6. Business/Non Consent Items

7. Walk‐In Items

8. Chief Executive Officer’s Report

9. Legal Reports

1. Motion to Adopt Revised 2016 Calendar of Council Meetings (in CEO Report)

Recommendation: I recommend the Council approve the Revised 2016 Calendar of Council Meetings as outlined in the CEO Report.

10. Individual Appearances – Non Agenda Items

11. Council Comments

12. Adjournment

#: 1

AGENDA ITEM SUMMARY September 10, 2015 Council Meeting

AGENDA ITEM: 2A TITLE: Minutes – August 6, 2015 Council Meeting RECOMMENDATION: I recommend the Council approve the Minutes of the August 6, 2015 Council Meeting as presented.

CHILDREN’S SERVICES COUNCIL OF PALM BEACH COUNTY COUNCIL MEETING

Thursday, August 6, 2015, 5:00 p.m.

MINUTES 1. Call to Order

Chair Langowski called the meeting to order at 5:04 p.m. Present: Thomas Bean Vince Goodman Greg Langowski Thomas E. Lynch Dennis Miles Debra Robinson, M.D. Shelley Vana Thomas P. Weber Excused: Robert M. Avossa, Ed.D.; Kathleen Kroll A. Invocation – led by Vince Goodman B. Pledge of Allegiance – led by Chair Langowski C. Presentations

1. Prenatal Plus: Nursing, Mental Health and Nutrition – Michelle Abarca, Program Officer; representatives from i) Florida Health, Palm Beach County; ii) Nutritious Lifestyles, Inc; and iii) Center for Family Services of Palm Beach County, Inc.

Michelle Abarca, Program Officer stated that Prenatal Plus had been funded by CSC since 2013 and is a care coordination program designed to prevent poor birth outcomes. She stated that it addressed:

Behavioral risk factors

Nutritional risk factors

Psycho‐social risk factors. Ms. Abarca stated that there was a team of professionals addressing the above issues with the expectant mothers; the team is comprised of the nurse providing care coordination, a mental health counselor, and a licensed dietician. She stated that they worked together in a client‐centered way in order to achieve the best possible birth outcomes. Ms. Abarca stated that since June, 2013 the program had served 279 clients with very good results. C.J. Byrne, RN, Palm Beach County Health Department stated that she was the care coordinator nurse. She stated that the scoring on the screen was conducted by Healthy Mothers Healthy Babies, and if it was 6 and above the pregnant mothers were referred to her. She stated that the screen was now available in English, Spanish and Creole. She stated

Children’s Services Council of Palm Beach County August 6, 2015 Council Meeting Page: 2

doc#172927 150806 Minutes.doc

that only women pregnant 28 weeks or less were accepted into the Prenatal Plus program. She stated that she conducted the first assessment of the client which included a nursing assessment and a family assessment. She stated that the clients were then referred to the mental health counselor and dietician. She stated that oftentimes the client could only be seen at night times so they had a flexible schedule enabling the client to attend. She stated that they usually performed one case conference, and a minimum of 10 face to face visits. She stated that they used “Partners for a Healthy Baby” for curriculum which addressed both social and emotional factors as a client went through their pregnancy. Jennifer Boutin, RD, LDN, Nutritious Lifestyles, stated that as a registered dietician her client assessment comprised of finding out how much a client knew about nutrition and food safety. She stated that she evaluated whether the client was eating enough and drinking enough, what type of foods she was eating, and where she got her nutritional information. She stated that she also collected information on the mother’s past and current medical history because most medications have side effects that mirrored pregnancy (nausea, vomiting), and other medications had side effects like anorexia and low appetite. She stated that, depending on the risk score of the mother, she would usually have a maximum of six face‐to‐face visits with them regarding their nutrition. She stated that she also worked on determining where the mother’s support would be coming from in terms of breastfeeding, because breastfeeding was integral in a baby’s development. She stated that if a client had poor support in this area it may deter her from breastfeeding. Melissa Schank, LMHC, Center for Family Services stated that once the nurse received the referral and had talked to the client to confirm the client’s interest in the Prenatal Plus program, the nurse then contacted the nutritionist and mental health counselor. She stated that upon receiving the nurse’s referral, she went to the home to conduct a client assessment. She stated that the Center for Family Services used an evidence‐based tool entitled “The Partners for Change Outcome and System”. She stated that the tool was supported by five random clinical trials, and was utilized at the beginning of every session where the client filled it out. She stated that it was a survey and addressed:

General sense of personal well‐being

Interpersonal relationships

Social life

Overall sense of well‐being and how they felt. Ms. Schank stated that at the end of each session the client would rate each session and would divulge how the alliance was between counselor/client and whether they wanted the counselor to do something differently. She showed a graph showing treatment response and stated that the client had rated the sessions very highly. Client “Margaret” was introduced, Ms. Schank stated that Margaret had joined the program at 12 weeks pregnant and had recently lost her job and did not have health insurance. She stated that the client’s mother had also recently had a heart attack so there was more stress in the home. She stated that there had also been domestic violence issues with the father of the baby. She stated that the client had also been taking anti‐depressants. She stated that



the client had worked with Healthy Mothers Healthy Babies to navigate the new Medicare system. She stated that the client had utilized dental services including cleanings and fillings. She stated that they had also provided referrals to WIC for food stamps. She stated that the client also received parenting education including various videos such as “Back to Sleep”. She stated that the client had attended childbirth classes. She stated that breastfeeding education and support had been important to the client. Ms. Schank stated that baby Evelyn was born to Margaret at 41 weeks, 7lbs 2oz, and was exclusively breastfed. Margaret stated that she was 34 and lived with her mother. She stated that she had been unemployed, had got pregnant, and her mother had a heart attack. She stated that the father of the baby had assaulted her when she was 6 weeks pregnant. She stated that she had ended the relationship, and had sought out available programs to help with pregnancy and medical care. She had taken a voluntary prenatal risk screen through Healthy Mothers Healthy Babies, and had been connected to the Prenatal Plus team. She stated that she was very thankful to her nurse and counselors. She stated that she had attended both childbirth and infant care classes offered by Healthy Mothers Healthy Babies and that the classes had been free and easy to find. Margaret stated that she had delivered her daughter in March at Jupiter Medical Center, and while in hospital had been visited by someone from CSC. At that time she enrolled to continue in the program and stated that she had been very lucky to continue with the same nurse and therapist. She stated that it was sometimes difficult to create new relationships, so it had been such a relief to continue with the same people she already had a rapport with. She stated that her nurse had advised her of an available child care program and she intended to use that and enroll in school to become an ultrasound technician. She stated that she believed that her daughter was healthy and happy because of the help she had received. She stated that she felt educated and empowered to raise her daughter to the best of her ability. She stated that the continued support of the programs in which she had partaken had been extremely invaluable, and she was extremely thankful that she had been able to participate. She thanked the Council. Vince Goodman asked what percentage of the clientele breastfed their newborns. He asked what the advantages and disadvantages were of breastfeeding. Ms. Byrne stated that she was not sure of the statistics but in some cases it depended on the culture. She stated that she worked in areas where there were many moms who couldn’t understand why someone wouldn’t want to breastfeed, and in other areas she had clients whose own mothers did not breastfeed but they would like to try, but it was challenging for them because they didn’t have the handed down experience and knowledge from their mothers. She stated that there were no disadvantages of breastfeeding because it was perfect for the baby, it was free, and it was made for the infant. Lisa Williams‐Taylor, Ph.D. stated that it had long‐term health benefits. She stated that staff can bring more information to the Council in this regard. Ms. Schank stated that the United States had the lowest breastfeeding rate worldwide, which was bad. Ms. Byrne stated that the effects of breastfeeding could be noted in lesser instances of allergies and doctor visits for the child. She stated that they did



not push the mothers into breastfeeding, but they provided all the information so that the mothers could make an educated choice. Dennis Miles asked how long the program continued after the birth of the child. Ms. Byrne stated that it was for 8 weeks after the birth. Mr. Miles asked whether the client transitioned into another program. Ms. Byrne stated that it depended on the client, sometimes they didn’t need it, and sometimes the newborn risk screen would automatically score them into a program.

2. Minutes

A. June 25, 2015 Council Meeting A motion by Weber/Miles to approve the Minutes of the June 25, 2015 Council meeting as presented was approved by unanimous vote.

3. Individual Appearances – Agenda Items – N/A

4. Council Committees:

Program Review Committee Vice Chair Weber stated that the Program Review Committee approved the PRC Consent Agenda, the non‐consent agenda item, (the walk‐in allocations warrants list), and Resolution #15‐029. A (revised) motion by Lynch/Goodman to approve the PRC agenda in its entirety, including the walk‐in allocations warrants list, Resolution #15‐029 and the non‐consent agenda item was approved by unanimous vote. Finance Committee

Tom Lynch stated that the Finance Committee had met prior to the PRC meeting that day and recommended approval of the June 30, 2015 Financial Statements. He stated that investment advisor Davidson recommended that CSC change its banks to First Community for public funds and Regions Bank for custody, while still maintaining the accounts with Wells Fargo. He stated that the Finance Committee recommended a budget revision to transfer $330,000 to Prevention Partnerships for Children, Inc. to reimburse the School District for the Strong Minds program. A motion by Goodman/Bean to approve the Finance Committee report and Financial Statements ending June 30, 2015 was approved by unanimous vote.

5. Business/Consent Agenda



A. Consent Agenda Management

1. Additions, Deletions, Substitutions

Substitution: Chair Langowski stated that Agenda Item 5G(3) (Reference #5)had been revised by adding verbiage to the third paragraph.

2. Items to be Pulled for Discussion – Agenda Item 5G(3) (Reference #5) was pulled for discussion purposes. 3. Adoption of the Consent Agenda and Walk‐in Warrants List

A (revised) motion by Lynch/Weber to approve the Consent Agenda, with the exception of Agenda Item 5G(3), and approve the Walk‐in Warrants list was approved by unanimous vote.

B. CSC Funded Programs – Current – N/A

C. CSC Funded Programs – Future – N/A D. Planning & Development – N/A E. Personnel – N/A

F. Financial

1. Warrants List – Approved by Consent

G. Administration

1. Resolution #15‐024 Authorizing 2015‐2016 Media Expenditures in Excess of Annual Cumulative Total of $100,000 ‐ Approved by Consent 2. Resolution #15‐025 Authorizing Fall 2015 Strong Minds Reading Campaign Book Purchase – Approved by Consent

3. Resolution #15‐026 Authorizing Photovoltaic System Installation (Revised)

Tom Lynch asked whether the company that installed the Photovoltaic system would guarantee that it met the wind velocity codes and all other necessary codes in Palm Beach County. Mike Modica, Head of Facilities stated that the company would guarantee it; the attachment points were all Miami‐Dade approved and that it would work for the City of Boynton Beach also. Mr. Lynch reaffirmed that in order to get the grant from Florida Power and Light (FPL) it had to be in place by October 5, 2015, and asked whether it could be done. Mr. Modica confirmed that it



could be done. Mr. Lynch asked how many years it would take to achieve cost recovery. Robert Kurimski, Chief Technology Officer stated that with the subsidy of the FPL rebate they conservatively estimated 7.2 years for cost recovery, although they were expecting it to be less. Mr. Lynch asked for the figure of the total electric bill per month. Mr. Modica stated that, depending on the season, it was $12,000 to $15,000 per month, and the Photovoltaic system would reduce this by approximately $6,000 per year. Mr. Lynch asked whether it was because they were only planning to use 20% of the roof. Mr. Modica stated that the electric bill would be offset by approximately $40,000 per year if the entire roof was utilized. Mr. Lynch asked the life expectancy on the panels. Mr. Modica stated that it was 25 years. Mr. Lynch asked if there was a warranty for 25 years. Mr. Modica stated that there was a 25 year warranty. Mr. Kurimski clarified that the 25 year warranty was for both the panels and the inverter, and it gave CSC a significant amount of time after breaking even from the investment to make additional savings. He stated that it was also expandable, and the system was scalable. He stated that it made sense to start off at the proposed level, based on the subsidy. Mr. Lynch reconfirmed that $92,000 included everything including installation, Mr. Modica stated that it was turnkey. Chair Langowski stated that the subsidy outlined an “anticipated” reimbursement of $49,360 and asked whether this would go up or down. Mr. Modica stated that it was anticipated only if it was completed in the prescribed timeframe. Mr. Lynch asked whether the contract with Sun‐Tec Solar Energy guaranteed that he would install it in time to be eligible for the rebate. Mr. Modica stated that it was not guaranteed. Mr. Lynch asked Mr. Sheehan whether a clause could be added outlining that if the vendor did not make the timeframe, the vendor would reimburse CSC part of the lost rebate. Tom Sheehan, General Counsel, stated that the contract called for completion within the timeframe and the vendor was not willing to take on a penalty outside of that. He stated that this was the only contractor able to do the work within the timeframe. Mr. Kurimski stated that the contractor had done over 1,500 installations in Florida alone. Mr. Modica stated that upon negotiations, the contractor had divulged that all the materials were readily available and commonly used, hence there were no delays anticipated barring weather and force majeure. Mr. Lynch asked whether they were comfortable that the City of Boynton Beach would approve the permit in a timely manner. Mr. Modica stated that it was a straightforward permit and that it was really more for the roof. He stated that he had emailed the City of Boynton Beach preliminary information to gauge their potential assent, and they would be conducting a walk through with the City of Boynton Beach on the following Monday, subject to Council approval of the item. Mr. Lynch suggested the help of Mayor Vana should they run into any trouble in securing the approval. A motion by Lynch/Goodman to approve Resolution #15‐026 authorizing the Chief Executive Officer to waive CSC’s procurement policies and enter into an agreement with Sun‐Tec Solar Energy for the installation of a photovoltaic solar array system in an amount not to exceed $89,900 effective August 6, 2015 was approved by majority vote. Council Member Bean abstained from voting.



Tom Sheehan noted for the record that Mr. Bean had abstained from the vote as a precautionary measure because he was employed by Florida Power and Light (FPL) and his abstention was not due to a conflict of interest.

6. Business/Non Consent Items

1. CSC Meeting Redesign: Combining Program Review Committee with the Council Meeting Tom Sheehan stated that the Program Review Committee (PRC) meeting had evolved over time and had initially been designed to deal with problem agencies. He stated that PRC now dealt with any type of program issue and would now be appropriate for participation from the whole Council. He stated that staff recommended that the PRC meeting be eliminated, and those agenda items that would normally go to PRC would come to the Council meeting instead, and staff recommended approval of the revised agenda format as outlined in Exhibit “A”. He stated that the Consent Agenda would be broken down into Program and Business, with the Non‐Consent Agenda encompassing Business and Informational items. He stated that staff recommended adopting the new agenda format beginning October 1, 2015 to align with the new fiscal year, and recommended a 4:30 p.m. start time. He stated that the starting date and time of the meeting were at the pleasure of the Council. Chair Langowski called for comments regarding eliminating the PRC meeting and combining it with the Council meeting. There were no comments. A motion by Vana/Bean to eliminate the PRC meeting and combine it with the Council meeting, with items formerly brought to PRC be brought to the Council meeting instead was approved by unanimous vote. Chair Langowski asked whether 4:30 p.m. would be an appropriate start time. Council members concurred. A motion by Lynch/Goodman to begin the Council meeting at 4:30 p.m. to be effective October 1, 2015 was approved by unanimous vote. Tom Sheehan asked for approval of the order of business as set forth in Exhibit “A”. A motion by Vana/Goodman to authorize Exhibit “A” as the order of business for the Council meeting effective October 1, 2015 was approved by unanimous vote.

7. Walk‐In Items – N/A 8. Chief Executive Officer’s Report

1. Planning Session Follow‐Up



Lisa Williams‐Taylor, Ph.D. stated that the CEO Report contained a follow up from the Planning Session regarding a request for CSC to investigate the viability of a universal home visiting program. She stated that the CEO Report contained all the details, and they had looked historically at a former CSC program similar to universal home visiting, and had looked at cost estimates. She stated that the program had been eliminated in the past due to the high cost and the take‐up rate, including the fact that CSC had previously been actively trying to engage folks who did not score highly on the risk screen and did not need the program. She stated that the estimated cost to conduct a similar program at this time was $6.5 million; in addition, there were currently hospital liaisons who were already reaching 98% of every birth in Palm Beach County, and it was determined that it would not be cost effective to move in that direction. She stated that they would always keep an eye on the national models in the event that one of the models came in at a cheaper operational rate. Tom Lynch asked what the remaining 2% of births represented (that were not reached by the hospital liaisons), and asked if they were at‐home births. Michelle Gross, Director of System Performance stated that she suspected this was the case.

2. Foster Children’s Program Update Dr. Williams‐Taylor stated that the Foster Children’s Program had been in effect since 1991 and served children aged birth to age 12 in licensed custody of the State of Florida due to abandonment, abuse and neglect. She stated that the program served approximately 480 children and helped achieve permanent placement for those children as quickly as possible. She stated that a quasi‐experimental, rigorous, evaluation design was conducted on this program some time previously, and the evaluation had been published. She stated that the program was well on its way to becoming an evidence‐based program. She stated that they had reviewed the program again recently in comparison to the scorecard from the State of Florida, and when compared against the State rates (those not in the program vs. those that were), the permanency achieved within 12 months was achieved at a significantly higher rate for those children in the program. She stated that they would continue to monitor the program and were hopeful that such a successful program could be replicated nationally.

3. Father Involvement in Early Childhood Development: A Brief Report from the Palm Beach County Family Study Dr. Williams‐Taylor stated that CSC Research and Evaluation Officer, Laura Fleischman, Ph.D., had co‐authored a report published nationally by Chapin Hall.

4. Legislative Session Update Dr. Williams‐Taylor stated that the CEO Report contained a legislative session update.

5. Communications Update



Dr. Williams‐Taylor stated that the CEO Report contained an update from the Communications division.

9. Legal Reports

1. Prevention Partnerships for Children, Inc. Special Board Meeting – directly following adjournment of Council Meeting Tom Sheehan, General Counsel stated that there would be a Prevention Partnerships for Children, Inc. Special Board Meeting directly following the Council meeting that evening.

2. September Dates Confirmed for CSC Business Meetings and TRIM Hearings

Mr. Sheehan stated that the following dates had been confirmed for September’s meetings. He stated that a list of Council members making up the quorum for each date had been distributed at each Council member’s place. He emphasized the importance of having a quorum for each date, in order for CSC to receive its tax revenues.

Thursday, September 10th – Council Meeting (currently estimated) 5:30 p.m., TRIM – 6:00 p.m.

Thursday, September 24th – Program Review Committee (currently estimated) 5:00 p.m., Council Meeting (currently estimated) 5:30 p.m., Prevention Partnerships for Children, Inc. Board Meeting (time: upon conclusion of Council meeting), TRIM – 6:00 p.m.

10. Individual Appearances – Non‐Agenda Items – N/A

11. Council Comments – N/A

12. Adjournment

The meeting was adjourned at 5:41 p.m. ________________________________ _________________________________________ Vincent Goodman, Secretary Lisa Williams‐Taylor, Ph.D., Chief Executive Officer

#: 2

AGENDA ITEM SUMMARY September 10, 2015 Council Meeting

AGENDA ITEM: 5F(1) TITLE: Financial – Warrants List CSC STAFF: Bill Cosgrove, Chief Financial Officer RECOMMENDATION: I recommend the Council approve the Warrants List, in accordance with the established budgets for each of the expensed items, as presented.

Children's Services Council

Warrant List

September 10, 2015

Document No Vendor Name Description Total

PO-15-1879 Publix Meeting Supplies $10.28

PO-15-1880 American Express CPC Employment Ad Program Officer Program Performance $160.00

PO-15-1881 American Express CPC Employment Ad Program Officer Program Performance $250.00

PO-15-1882 Three B. Corporation 5000 CSC Heart Shaped Sandwich Fans $3,745.00

PO-15-1883 American Express CPC Subscription Progressinve Business Publications HR FY 1516 $299.00

PO-15-1884 American Express CPC Appreciation Cards & Books HR $71.84

PO-15-1885 American Express BTA JGoodman Airfare Salt Lake City UT 9/26 CityMatch Conference $429.20

PO-15-1886 Sharon Tozzi Travel Reimbursement Fort Lauderdale FL FPHRA Conference 7/31-2015 $271.97

PO-15-1887 Audra Agramonte Mileage Reimbursement $220.20

PO-15-1888 Michigan Assoc. Infant Health Annual Endorsement License Renewal 2015 $1,000.00

PO-15-1889 Outside Pub Delivery of books to 4 BTSB locations $750.00

PO-15-1890 American Express CPC JBart's Registr Chamber Of Commerce's Back To School Breakfast 2015 $45.00

PO-15-1891 Susan Craddock Travel Reimbursement Miamit FL 7/28 Coaching Skills for Managers $15.33

PO-15-1892 Office Depot Office Supplies $50.14

PO-15-1893 Burstein Jon Travel Reimbursement Chicago Visual Communications & Infographics Summit $145.29

PO-15-1894 American Express CPC SPSM Certification MLeWay $1,149.00

PO-15-1895 PBC Medical Society Future Of Medicine Summit - Exhibitor $1,500.00

PO-15-1896 Parenting Plus August Issue Full Page Color Ad $1,100.00

PO-15-1897 KDT Solutions Toner Cartridges $135.00

PO-15-1898 Amazon.com IMAGE Portable Electric High Powered Balloon Air Inflator Pump $48.03

PO-15-1899 Belcida Encinosa Facilitate Bridges Out of Poverty Overview& Reflective Practice Sessions FY1415 $1,200.00

PO-15-1900 American Express CPC MLynch Registration Hotel Gas Rental Car How To Be A Better Communicator Orlando 9/9-2015 $268.00

PO-15-1901 Avis Rent A Car System MLynch Rental Car How To Be A Better Communicator 9/9-2015 $66.40

PO-15-1902 Irene Apolinar Mileage Reimbursement $28.69

PO-15-1904 CDW Government 75" Samsung LCD TV & Wall Mount Hardware $2,218.03

PO-15-1905 USI Insurance Services Renewal Premium For Healthy Start Coalition D&0 Coverage $2,630.00

PO-15-1906 American Express CPC 22 Unimprinted Clear Photo Cubes For STAR Achievement $79.38

PO-15-1907 American Express CPC Nyrius ARIES Prime Digital Wireless HDMI Transmitter & Receiver System $401.97


PO-15-1909 American Express CPC Exeutive & Assistants Working In Partnership Manuals $101.95

PO-15-1910 Amazon.com Monitor Stand $30.87PO-15-1911 Marriott West Palm Beach What Works Evidence Based Summit Hotel For Consultants & Presenters 9/30-2015 $3,000.00

PO-15-1912 American Express CPC LWilliams For Chamber Of Commerce 2015 Back To School Breakfast $45.00

PO-15-1913 Board of County Commissioners Server Hosting For Healthy Beginnings Data System $10,000.00

PO-15-1914 American Express CPC Employment Ad Program Officer Boxwood Technology $250.00

PO-15-1915 American Express CPC Employment Ad Program Officer Boxwood Technology $550.00

PO-15-1916 American Express CPC Meeting Supplies For Celebrate Our Success $225.25

PO-15-1917 American Express CPC Employment Verification Vericon $93.50

PO-15-1918 American Express CPC Meeting Supplies For Biometric Screening $65.45

PO-15-1919 Diehl Jennifer Tuition Reimbursment $2,682.00

PO-15-1920 Lori Miller Tuition Reimbursement $1,835.65

PO-15-1921 American Express CPC Brookes Publishing 2 English Starter Kit For Review By Assessment Workgroup $310.75

PO-15-1922 Evidence Based Associates Present at the Evidence-Based Summit $2,250.00

PO-15-1923 Matt Stagner Present at the Evidence Based Summit $500.00

PO-15-1924 Mary Cary Bradley Present at the Evidence Based Summit $500.00

PO-15-1925 Delbert S. Elliott Present at the Evidence Based Summit $2,000.00

PO-15-1926 OUTFRONT Public Education Campaigns 8/31-9/30-2015 $7,971.43

PO-15-1927 American Express CPC Meeting Supplies For Admin Webinar Getting to Yes 8/11-2015 $216.53

PO-15-1928 American Express CPC Child First Workshop Meeting 8/6/15 $133.98

PO-15-1929 American Express CPC Background Check Vericon $140.50

PO-15-1930 American Express CPC Child First Workshop $242.96



PO-15-1933 Office Depot Industrial AA & D Batteries $127.44

PO-15-1934 American Express CPC Child First Workshop 8/13/15 $205.97

PO-15-1935 Palm Beach Newspaper Legal Ad Early Childhood Cabinet Meeting 8/2-2015 $34.40

PO-15-1936 Dean L. Fixsen Present Evidence Based Summit $2,500.00

PO-15-1937 Elizabeth Woodburn Cavadel Present Evidence-Based Summit $500.00

PO-15-1938 American Express CPC Annual Business Membership Renewal $110.00

PO-15-1939 Amazon.com Panini Vision X Cleaning Kit For Check Scanner $53.43

PO-15-1941 American Express CPC Nonprofits Day Registration $50.00

PO-15-1942 American Express CPC LWTaylor Registration Attend APPAM Conference 11/12-2015 $475.00

PO-15-1943 Three B. Corporation 250 Red CSC Journals $1,397.50

PO-15-1944 American Express BTA Consultant Airfare What Works Summit Various Locations To WPB 9/30-2015 $3,354.83

PO-15-1945 Patricia Vitello Mileage Reimbursement $14.26

PO-15-1946 Abila University Training Affordable Care Act $230.00

PO-15-1947 California News Reel DVD Set Of The Raising Of America $306.00

PO-15-1948 Kaeser and Blair Reorder 5000 Yellow CSC Bags $4,950.00


PO-15-1950 USI Insurance Services Add Multimedia & Advertising Injury Coverage To Cyber Liability Coverage 05-2015-2016 $943.42

PO-15-1951 American Express CPC 30-Day Subscription To Shutterstock $199.00

1


Warrant List

September 10, 2015


PO-15-1952 Amazon.com 12V APC Back-UPS Batteries APC Smart UPS 1000 Battery Pack $198.92

PO-15-1953 American Express CPC Victor DC300 High Rise Sit-Stand Desk Converter $295.00

PO-15-1954 Palm Beach Newspaper Legal Ad TRIM Meetings $123.84

PO-15-1955 Scholastic Book Order Fall 2015 Strong Minds Child Care Center Books $50,881.50

PO-15-1956 American Express BTA STozzi Airfare Denver CO IPMA-HR International Training Conference CSC Award 9/27-2015 $503.19

PO-15-1957 American Express CPC Heavy Duty iPhone Case $28.18


PO-15-1960 Kaeser and Blair Reorder CSC Polo Shirts For New Employees & Touchpoints Cadre $498.08

PO-15-1961 American Express CPC STozzi Hotel Baggage Supershuttle Airport Parking Denver IPMA-HR International Conference 9/27-2015 $1,083.24

PO-15-1962 Capital Office Products Paper For Copy Rooms $634.00

PO-15-1963 Manhattan Trophy Names For Plaques HB Coalition $90.76

PO-15-1964 Eco-Products Plates Cups & Knives Staff $1,081.38

PO-15-1965 The Carpet MD Carpet & Upholstery Cleaning East Side ELC Suite $395.00

PO-15-1966 Gen-X Construction Final Draw - Hamilton Room $500.00

PO-15-1967 All Pro Advanced Services Cleaning All Levels Whittaker Dry Cleaning $989.53

PO-15-1968 American Express CPC Paint Harmony IAG Khaki 3 Mil Plas Patch Prime Mask Tape $148.84

PO-15-1969 American Express CPC Mini Roller 12 Frame Canvas Drops Sanding Sponge Snap Knife $67.80

PO-15-1970 DebonAir Mechanical Replace VFd Fans On Board Drives Both Chiller Circuits $641.90

PO-15-1971 Solar Gard of Boynton Window Tint ELC 1st Floor South Suite Pass Through Expense $215.00

PO-15-1972 MSP Electric Replace box at conference room add outlet $221.63

PO-15-1973 AmSan Custodial Ceaning Supplies Paper Goods Flushometer Parts $1,913.36

PO-15-1974 Uline 5 Pallet Racks 3rd Floor Storage Closet $1,527.83

PO-15-1975 Office Depot Foil & Plastic Wrap For Kitchens $144.76

PO-15-1977 American Express CPC Hallmark Card Dr. Brazelton's Family Loss $3.99

PO-15-1978 American Express CPC Deluxe Mobile Laptop Cart $137.93

PO-15-1979 Office Depot Replacement Coffee Condiment Holders & Frame $56.70

PO-15-1981 Dell Marketing LP 2 New Lattitiude E7450 Laptops $3,210.00

PO-15-1982 Dell Marketing LP Additional Dell Monitors $820.00

PO-15-1983 Jan Decoursey Soule Present At Evidence Based Summit $500.00

PO-15-1984 American Express CPC Nonprofit Chamber Annual Conference Registration Jbart & LWilliams $125.00

PO-15-1985 Junction International Translation Services - Strong Minds Parent Letter Eng. To Span. $125.00

PO-15-1986 Forum For Youth Investment Presentation at the Evidency based Summit by Merita Irby $2,200.00

PO-15-1987 Publix Super Markets Leadership Roundtable Meeting Supplies $21.51

PO-15-1988 Publix Super Markets STAR CEAP & Level 3 Event - Meeting supplies for 40 people $43.99

PO-15-1989 Office Depot Office Supplies for Strong Minds Expo and What Works event $458.57

PO-15-1990 American Express CPC Amazon.com - Items for Strong Minds Expo and What Works events $64.33

PO-15-1991 MDH Graphic Services 125 TOP Posters $365.00

PO-15-1992 American Express CPC Meeting Supplies Toastmasters $40.53

PO-15-1993 American Express CPC Meeting Supplies Biometric Screening $95.51



PO-15-1996 Sharon Tozzi Meeting Supplies Star Achiever Ceremony $17.84

PO-15-1997 Melinda Cato Meeting Supplies Biometric Screening f $16.96

PO-15-1998 Barry Telecommunications Editing -Ttake Outs From GUP Show With Lisa For Website $1,250.00

PO-15-1999 American Express CPC Supervisors Forum Luncheon $160.52

PO-15-2000 American Express CPC Writing Job Descriptions Webinar $199.00

PO-15-2001 American Express CPC 15-$10 Gift Cards For BRIDGES Survey Incentives $150.00

PO-15-2002 Lisa Williams-Taylor Mileage Reimbursement $150.16

PO-15-2003 Doubletake Studios 1000 FIMR Brochures For Health Council Of SEFL $991.00

PO-15-2004 Office Depot Bankers Boxes For Strong Minds Expo $53.88

PO-15-2005 American Express CPC Reorder Nameplate RAvossa $28.45

PO-15-2006 American Express CPC 500 Emergency Procedure Cards $148.67

PO-15-2007 American Express CPC Multiple Consultants Hotel Rooms Evidence-Based Summit 9/30-2015 Cityplace WPB $1,000.00

PO-15-2008 Checks by Deluxe for Microsoft Check Order FL CSC $233.24

PO-15-2009 American Express BTA LGraber Airfare San Francisco CA BoxWorks Conference 10/27-2015 $301.20

PO-15-2010 American Express CPC LGraber Hotel Taxi Baggage Airport Park San Francisco CA 10/27 Boxworks Conference $1,191.55

PO-15-2011 American Express CPC LWilliams ATHENA Awards Luncheon Chamber of Commerce PB Event 9/27-2015 $100.00

PO-15-2012 American Express BTA RKurimski Airfare San Francisco Boxworks Conference 10/27-2015 $336.20

PO-15-2013 American Express CPC RKurimski Hotel Taxi Airport Park San Francisco CA Boxworks Conference 10/27-2015 $1,485.40

PO-16-18 American Express CPC DGotlib THallyburton Registration First 1000 Days Florida Summit WPB FL 10/21-2015 $1,375.00

PO-16-19 Leadership Palm Beach County MRoedel Registration Leadership Focus FY1516 $600.00

PO-16-20 Center Prevention Of Child Abuse Professional Promotions Fund Turn on the Light Conference 10/15-2015 $2,000.00

PO-16-21 Postive Habitat Professional Promotions Fund The Perfect Outlet Teen Awareness Fair 10/17-2015 $2,000.00

PO-16-22 International Business Machine Compensation Analytics Market Data and Reporting 10/1-9/30-2016 $7,680.00

PO-16-23 The Pontis Group Deliver Creative & Critical ThinKing Training FY1516 $8,000.00

PO-16-24 The Pontis Group Delivery Of Time Management Training FY1516 $3,000.00

PO-16-25 Melissa Stanley Delivery Of Combatting Compassion Fatigue Training & Reflective Practice FY1516 $31,200.00

PO-16-26 Family Central Delivery Of Cultural Competency Training FY1516 $5,250.00

PO-16-27 David Duresky Delivery Of Motivational Interviewing Training FY1516 $7,650.00

PO-16-28 Meridith Gould Technical Assistance To Providers Light Touch Plan Development FY1415 $4,400.00

PO-16-29 Philip Thomas Stepka Child Parent Psychotherapy Consultation FY1415 $4,320.00

2


Warrant List

September 10, 2015


PO-16-30 Smile Again Delivery Of Child Abuse & Neglect Training FY1415 $4,500.00

PO-16-31 Belcida Encinosa Delivery Of Cultural Competency Reflective Practice FY1415 $1,500.00

PO-16-32 Belcida Encinosa Facilitate Bridges Out of Poverty Overview and Reflective Practice Sessions FY1516 $6,200.00

PO-16-33 211 Palm Beach TreasureCoast 211 Special Needs Helpline FY1516 $25,000.00

PO-16-34 211 Palm Beach TreasureCoast Help Me Grow Parent Information Line FY1516 $88,078.00

PO-16-35 Florida Dept. Children & Families Fee For Service Agreement ACCESS Employees FY1516 $59,528.25

PO-16-36 Family Central ASQ3 Reflective Practice Training FY1516 $1,200.00

PO-16-37 Family Central Delivery Of Emotional Intelligence Training FY1516 $2,200.00

PO-16-38 Palm Beach County Food Bank Provision & Distribution Of Food To Children & Families FY1516 $225,000.00

PO-16-39 The Pontis Group Delivery Of Conflict Resolution Training FY1516 $9,975.00

PO-16-40 Resource Depot Resource Depot Administrative Expense FY1516 $100,000.00

PO-16-41 United Way PBC Continuous Improvement Initiative FY1516 $100,000.00

PO-16-42 United Way PBC Nonprofit Legal Assistance FY1516 $20,000.00

PO-16-43 United Way PBC Special Needs Initiative FY1516 $977,833.00

PO-16-44 American Express CPC LWilliamsTaylor Train Fare & Taxis Miami FL Embark Independent Sector Conference 10/27-2015 $78.75

PO-16-45 American Express CPC DGotlib Registration Leadership Book Camp Boca Raton FL 10/27-2015 $1,100.00

PO-16-46 American Express CPC RPalo Hotel Shuttle Airport Parking Fort Worth, TX Purpose Built Communities Conference 10/5-2015 $531.18

PO-16-47 American Express CPC JBartosek Registration Digital Marketing Class III FAU 10/13-11/17-2015 $723.87

PO-16-48 American Express BTA RPalo Airfare Fort Worth TX Purpose Built Communities Conference 10/5-2015 $226.20

PO-16-49 American Express CPC Advanced Digital Marketing For Business Growth Tactics & Tools 10/13-11/17-2015 $976.65

PO-16-50 Johanna Sharp Evidence Based Program Research & Evaluation FY1516 $26,580.00

PO-16-51 Gaetana D. Ebbole Consulting Services 10/1-12/31-2015 $4,500.00

PO-16-52 PBC Board Of County Commisioners Drowning Prevention Initiative FY1516 $50,000.00

PO-16-53 Boynton Beach Chamber of Commerce Harvest Fest - Children's Activities Sponsor Event 11/14-2015 $1,500.00

PO-16-54 OUTFRONT Media Billboards Public Education Campaigns FY1516 $279,965.00

PO-16-55 Safe Kids PBC Professional Promotions Fund Walk this Way Event 10/7-2015 $2,000.00

PO-16-56 Center for the Study of Social Policy Services Of AFine EC-LINC FY1516 $225,000.00

PO-16-57 Davidson Fixed Income Management Investment Advisory Services FY1516 $14,400.00

PO-16-58 School District Of PBC Specialist In Evaluation & Test Development Position P-127 FY1516 $92,086.00

PO-16-59 School District Of PBC Specialist Community Education P-144 FY1516 $50,000.00

PO-16-60 SRA Research Group Market Survey FY1516 $35,800.00

PO-16-61 United Way PBC 211 of Palm Beach Treasure Coast FY1516 $116,422.00

PO-16-62 United Way PBC Mentoring Initiative FY1516 $1,055,632.00

PO-16-63 PBC Tax Collector Non Ad Valorem Assessment $52,308.84

PO-16-64 Catherine L. Trifiletti Consulting Data Entry School District TERMS Data System FY1516 $2,500.00

PO-16-65 Kelly Pierce Pineda Facilitation Of Training Infant Mental Health & Touchpoints FY1516 $14,000.00

PO-16-66 Catherine Schappert Facilitation Of Training & Sultation Services Touchpoints Initiative FY1516 $14,000.00

PO-16-67 Janine Kirk Facilitation Of Trainings & Reflective Practice Touchpoints Initiative FY1516 $5,000.00

PO-16-68 Donna Donato Facilitation Of Trainings Infant Mental Health & Touchpoint Initiatives FY1516 $15,000.00

PO-16-69 Cheryl L. Jacobs Facilitation Of trainings Reflective Practice Consultation & Touchpoints Initiative FY1516 $16,000.00

PO-16-70 Wanda Baldwin Facilitation Of Trainings Touchpoints & Infant Mental Health FY1516 $5,000.00

PO-16-71 Cassandra G. Wilbanks Facilitation Of Trainings & Reflective Practice Touchpoints FY1516 $6,500.00

PO-16-72 Jackie Adames Facilitation Of Trainings Reflective Practice Infant Mental Health Touchpoints FY1516 $13,000.00

PO-16-73 IAM S.E.T, Inc. Facilitation Of Trainings Reflective Practice Touchpoints FY1516 $13,500.00

PO-16-74 Tyona Y. Ezeilo Facilitation Of Trainings Infant Mental Health Reflective Practice Touchpoints FY1516 $25,000.00

PO-16-75 Helen L Masin Facilitation Of Trainings Infant Mental Health Initiative FY1516 $9,000.00

PO-16-76 Anne E. Hogan, PHD Facilitation Of Trainings and Reflective Practice Infant Mental Health FY1516 $12,000.00

PO-16-77 Janice Lisa Berry Facilitation Of Trainings Reflective Practice Touchpoints Initiative FY1516 $10,000.00

PO-16-78 The Pontis Group Delivery of Conflict Resolution & Difficult Conversation Training FY1516 $9,975.00

PO-16-79 Kelly Pierce Pineda Delivery of ASQ3 Reflective PracticeFY1516 $1,200.00

PO-16-80 Script-Fully U Enrichment Home Visitor Safety Training FY1516 $2,070.00

PO-16-81 Stacey Cornett Consulting Consultation Calls With Mental Health Providers For CANS FY1516 $450.00

PO-16-82 Kelley ComiskeyBastien Facilitation Of Training Touchpoints Initiative FY1516 $1,200.00

PO-16-83 PBC Property Appraiser Property Appraiser First Quarter Commission Due 10/01-2015 $192,130.50

PO-16-84 American Express BTA MGuthrie Airfare Los Angeles CA PolicyWorks Lifting Up What Works Equity Summit 10/27-2015 $306.20

PO-16-85 American Express CPC MGuthrie Registr Hotel Taxi Airport Park Los Angeles C Lifting Up What Works Equity Summit 10/27-2015 $1,149.05

3

Children's Service Council

Warrant List

September 10, 2015

WALK-IN


PO-15-2014 Triple P America Parent Resource Materials $10,026.61

PO-15-2015 American Express CPC Lean Six Sigma Green Belt Training 9/3-2015 $268.85

PO-15-2016 American Express CPC QuestionPro Anuual License Program Division $144.00

PO-15-2017 American Express CPC Renewal GoDaddy SSL Cerificate $149.99

PO-15-2018 American Express CPC BWagner American Evaluation Association Membership Renewal $99.00

PO-15-2019 Abila Affordable Care Act Reporting Webinar MCato $230.00

PO-15-2020 American Express CPC Child First Meeting 8/11-2015 $65.23

PO-15-2021 ePanicButton ePanic PC Based Button System Renewal $399.00

PO-15-2022 Calgary Urban Project Society FOI Reimbursement For Stipends Materials & Printing Parent Meeting Travel IPods 2 $5,946.31

PO-15-2023 Westside Infant-Family Network FOI Reimbursement For Stipends Materials & Printing Personnel & Other Costs Parent Meetings $1,050.00

PO-15-2024 Acelero FOI Reimbursement For Stipends Materials & Printing Personnel & Other Costs Parent Meetings $35,500.00

PO-15-2026 Mariella Nardi FOI Reimbursement For Personnel Costs $600.00

PO-15-2027 American Express CPC JGoodman Membership Renewal American Evaluation Association 9/8-2015 $99.00

PO-15-2028 Palm Beach County Food Bank Purchase & Distribution Of Food 9/10/30-2015 $50,000.00

PO-16-86 Florida Association of HSC DGotlib Registration FAHSC Director Meeting Boynton Beach FL 10/20-2015 $50.00

PO-16-87 Debbie Manigat Travel Advance Lake Forest CA Gathering On Mental Health & The Church 10/16-2015 $168.67

PO-16-88 Wyman Center Teen Outreach Program Annual Support FY1516 $6,000.00

PO-16-89 Florida Children's Council Florida Children's Council Membership Dues FY1516 $122,672.14

PO-16-90 Florida Association of HSC Various Employees Registration First 1,000 Days Summit WPB FL 10/21-2015 $1,375.00

1

CEO Report September 10, 2015

CHILDREN’S SERVICES COUNCIL OF PALM BEACH COUNTY September 10, 2015 CEO Report

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Chief Executive Officer Report

Follow Up from Council Meeting of August 6, 2015 1. Breastfeeding: Evidence, Rates, and CSC Efforts to Promote Michelle Gross, Director of System Performance – Healthy Beginnings

A large body of evidence has accumulated to support breastfeeding as an important strategy for ensuring better health outcomes for children and mothers. The American Academy of Pediatrics recommends exclusive breastfeeding for the first six months of life, and continued breastfeeding for at least the first year of life. Benefits for infants include enhanced cognitive development and reduced risk of obesity, diabetes, asthma, and sudden infant death syndrome. Breastfeeding also increases immunity against infectious diseases such as respiratory infections, diarrhea, bacterial meningitis, bacteremia, and otitis media. Evidence supports protection from breast and ovarian cancer for mothers1. Benefits translate into cost savings as well. According to Bartick and Reinhold2 (2010), “If 90% of US families could comply with medical recommendations to breastfeed exclusively for 6 months, the United States would save $13 billion per year.”

National efforts by the Centers for Disease Control and Prevention (CDC) and Healthy People 2020 are working to increase overall breastfeeding rates and decrease disparities. One of the objectives of Healthy People 2020 is for 81.9% of women to breastfeed their infants at hospital discharge. Promoting breastfeeding is supported by the Florida Department of Health, Florida Healthy Start, WIC, and CSC programming efforts. Rates are tracked at the national, state, and local levels. Internally at CSC, we have taken steps to better track breastfeeding rates within our system.

With greater attention and focus in recent years, breastfeeding rates are increasing nationally, statewide, and locally. Palm Beach County rates (85.9%) remain higher than the overall rate in the State of Florida (84.2%). In 2014, only 8 of 67 counties in the state had breastfeeding rates higher than that of Palm Beach County.

Rates of Any Breastfeeding

Year National3 Florida4 Palm Beach County5

2010 76.7 80.1 82.9

2011 79.2 79.6 83.2

2012 80.0 81.0 83.8

2013 Not yet available 82.5 85.2

2014 Not yet available 84.2 85.9

Demographically, there are disparities in breastfeeding rates. By race/ethnicity, prevalence of breastfeeding initiation is lowest among black infants. Rates increase with increasing maternal educational achievement and income.

1 Florida Department of Health Infant Breastfeeding http://www.floridahealth.gov/programs-and-services/womens-health/pregnancy/16-2015-title-v-brief-breastfeeding-final-11-06-2014.pdf; Florida Department of Health WIC http://www.floridahealth.gov/programs-and-services/wic/health-providers/_documents/provider-booklet.pdf 2 The Burden of Suboptimal Breastfeeding in the United States: A Pediatric Cost Analysis, Melissa Bartick and Arnold Reinhold, Pediatrics 2010; 125:5 e1048-e1056; published ahead of print April 5, 2010, doi:10.1542/peds.2009-1616 3 National Immunization Survey http://www.cdc.gov/breastfeeding/data/nis_data/index.htm 4 http://www.floridacharts.com 5 http://www.floridacharts.com


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National Rates of Any Breastfeeding by Socio‐Demographics among Children Born in 20126

Race/Ethnicity n % ± half 95% CI

Hispanic 2788 82.4±2.8

Non‐Hispanic White 8811 83.0±1.3

Non‐Hispanic Black 1476 66.4±3.8

Non‐Hispanic Asian 683 83.2±7.6

Non‐Hispanic Hawaiian/Pacific Islander

96 83.9±14.1

Non‐Hispanic American Indian/Alaska Native

217 71.5±12.6

2 or more races 1070 75.4±6.5

Maternal Education

Less than high school 1575 69.1±3.8

High school graduate 2755 71.1±3.1

Some college or technical school 3924 81.2±2.3

College graduate 6887 91.2±1.1

Poverty Income Ratio

Less than 100 3840 71.4±2.6

100 – 199 2952 79.0±2.6

200 – 399 4028 86.0±2.0

400 – 599 2379 88.2±2.1

600 or greater 1942 90.9±2.1

CSC Efforts to Promote Breastfeeding The entry agencies, HomeSafe and Healthy Mothers Healthy Babies, encourage breastfeeding through the dissemination of materials and resources during the initial assessment and initial contact services conducted with prenatal and parenting families. Families who are referred for ongoing services continue to receive breastfeeding education and support from prevention and early intervention service providers. For example:

Nurse Family Partnership, Nurses Supporting Families and Women’s Health Initiative provide

intensive nurse home visitation and care coordination services. The home visitors use the

Partners for a Healthy Baby curriculum. The curriculum strongly encourages breastfeeding by

providing parents with concrete strategies to increase the likelihood of breastfeeding

success. The curriculum also emphasizes the important role fathers can play in breastfeeding.

Healthy Families is a home visitation program for expectant parents and parents of

newborns designed to reduce the incidence of child abuse and other poor childhood

outcomes. Home visitors utilize the Growing Great Kids (GGK) curriculum to guide home

visits with the goal of engaging families and building parenting skills. The Healthy Families

model and GGK curriculum encourage and support families who choose to breastfeed.

Centering Pregnancy is a healthcare model that provides group prenatal care, integrating

prenatal assessment, education, and support. Prenatal women learn the benefits of

breastfeeding for their children, as well as the positive benefits for mothers. Breastfeeding is

normalized as the preferred feeding method for infants and young children.

6 National Immunization Survey http://www.cdc.gov/breastfeeding/data/nis_data/rates-any-exclusive-bf-socio-dem-2012.htm


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External partners such as the Breastfeeding Coalition and La Leche League are available as resources to families participating in any Healthy Beginnings program who need of additional breastfeeding information or support.

2. Reasons for Infants Not Receiving an Infant Risk Screen Jeff Goodman, Research & Evaluation Officer

A question was posed at the August 6, 2015 Council meeting: Why did 2.6% (381 of 14,433) of infants not receive an Infant Risk Screen in calendar year 2014?

The only two reasons why the 381 infants did not receive an Infant Risk Screen were:

• home births (98 or 25.7%) because these parents were not offered the Screen, or • mothers did not consent to have the Screen administered (283 or 74.3%).

3. Project DULCE – Strengthening Families through Enhanced Primary Care Lisa Williams‐Taylor, Ph.D., Chief Executive Officer

Information regarding Project DULCE follows in attached pages at the end of the CEO Report.

Upcoming Events

Update on First 1,000 Days Florida Summit, Building Strong Foundations for Children Prenatal ‐ Age 3 Michelle Gross, Director of System Performance As was reported in March 2015, CSC is a contributing sponsor of the “First 1,000 Days Florida Summit” to be held October 21 to 23 at the Palm Beach County Convention Center. The conference is a collaborative effort of key statewide groups in maternal & child health, prevention and early intervention, infant mental health, school readiness and early child development. The Summit is expected to reach 500 individuals involved in the funding, policy development and actual provision of services to expectant families and children to age 3. Registration is proceeding well, with 400 individuals registered by the end of August. Contributing sponsors in addition to CSC include FL MIECHV (Maternal, Infant, Early Childhood Home Visiting Program, Florida Association for Infant Mental Health, Florida Association of Healthy Start Coalitions, The Children’s Trust, the Children’s Services Council of Broward County, the Ounce of Prevention and the Magnolia Project. Supporting organizations include Florida Children’s Council, United Way of Florida, Early Steps, Florida Association of Early Learning Coalitions, the FSU Center for Prevention & Early Intervention Policy, the Fatherhood Task Force of South Florida and the Florida federal Healthy Start projects. The conference agenda features many well‐known experts. Dr. Michael Lu will present the opening keynote, he is the Associate Administrator of Maternal and Child Health, Health Resources and Services Administration, U.S. Department of Health and Human Services. Dr. Brenda Jones Harden will present the first plenary, titled “Bending the Curve on Toxic Stress.” She is an Associate Professor in the Department of Human Development and Quantitative Methodology at the University of Maryland


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College Park, and she serves on the Board of ZERO‐TO‐THREE. Plenary session speakers also include Dr. Erika Hoff, Professor of Psychology and Director, Language Development Lab, Florida Atlantic University and Member, HRSA Bridging the Word Gap Research Network, and Paul Schmitz, author of Everyone Leads. CSC is also organizing a sneak preview of the new documentary, The Raising of America. The preview will feature with a panel of experts in child development. Other highlights include:

More than 40 workshops on topics key to the success of children prenatal‐3.

A Showcase of Best Practices featuring effective community strategies for engaging and serving at‐risk families.

Continuing education credits for health and social service professionals working in the early childhood sector.

What Works! Evidence‐Based Summit Lisa Williams‐Taylor, Ph.D., Chief Executive Officer

In June, the Board received an update on the workgroups that are continuing the work from the Youth Symposium of 2013. One objective of the Youth Symposium is to promote the funding and implementation of Evidence‐Based Programs (EBP) in Palm Beach County. To further the knowledge and skills of EBPs among the local health, human service and education stakeholders/providers, the Palm Beach County Youth Services Department, School District, United Way and Career Source have worked with CSC staff to sponsor and organize a summit of experts in the field. The “What Works” Summit is scheduled for September 30th at the PBC Convention Center with an expected audience of 300. The agenda and detailed program descriptions follow.

What Works! A summit on Palm Beach County’s journey toward evidence‐based programs for children and youth

_________________________________________________ (Agenda follows, next page)


5

Draft Agenda Evidence‐Based Summit 9/30/15


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Introduction to Evidence‐Based Programming (EBP) Presenters: Clay Yeager, Senior Consultant at Evidence‐Based Associates Delbert Elliott, Ph.D.; Founding Director, Institute of Behavioral Science Center for the Study and Prevention of Violence at University of Colorado

The focus of this plenary is to establish a common language among summit participants about what is an evidence‐based program. This plenary will provide a thoughtful discussion about the science of evidence‐based work, the policy behind it and how these intersect in the current practice environment. Participants not only will better understand what we mean by evidence‐based programming, they also will learn about emerging trends in the evidence‐based arena. Key concepts to be explored in this plenary may include:

What is an Evidence‐Based Program? What are the benefits of using evidence‐based programs?

What are policy Implications for moving toward evidence‐based?

How do you choose a program? How do you find one that fits your community?

What are the resources/technical assistance context needed for evidence‐based programs?

Implementing Evidence‐based Programming Presenter: Dean Fixsen, Ph.D., Senior Scientist at Frank Porter Graham Child Development Institute at The University of North Carolina at Chapel Hill

This plenary will focus on moving from the science and theory around evidence‐based programming to understanding what is needed to effectively implement these interventions. This session will focus on fidelity and the critical role it plays in the replication of evidenced‐based programs, adaptation and program implementation. Key concepts to be explored in this plenary may include:

Why implement with fidelity?

What does fidelity mean?

Why is it important? How do organizations ensure commitment to fidelity?

What about adaptation and modification?

How do we implement in a community context?

How do we use the Implementation Science Framework?

Keynote: “Evidence of Promise” ‐ What will it take for our most vulnerable children and youth to succeed? Presenter: E. Bomani Johnson, Senior Director, Programs and Partnerships, DC Trust: Catalyst for Youth Success Panelists: Andre Dukes, Family Education and Engagement Director at Northside Achievement Zone James Green, Director, My Brother’s Keeper’s Network of Palm Beach County

This keynote will spark a rigorous discussion of social policy, public investment, accountability, program effectiveness and evidence‐based strategy and their roles in advancing an agenda that aims to close the achievement gap and better serve vulnerable communities. Participants will hear about collective impact initiatives such as Promise Neighborhoods, My Brother’s Keeper and others across the country charged with systematically addressing these issues across a continuum.

Technical Assistance Labs Will engage summit participants in small group break‐out sessions that will delve deeper into a few critical areas where support is often sought for evidence‐based program implementation. These labs will be interactive, therefore participants are encouraged to come with their burning questions, share best practices and engage in a collaborative learning experience.


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1.1 Community Readiness ‐ Assessment & Scale Presenters: Merita Irby, COO at Forum for Youth Investment Andre Dukes, Family Education and Engagement Director at Northside Achievement Zone The goal of this lab is to examine the importance of assessing community readiness in establishing an assessment‐driven feedback process to facilitate effective scale‐up efforts of evidence‐based programs and practices. Presenters will share successful implementation strategies so that participants are better able to define what is meant by community readiness and learn about tools and measures for assessing implementation readiness and explore strategies to increase it. Together, lab participants will explore how culture, community readiness and capacity impacts the assessment of the need for EBPs and the scale of these interventions, particularly in vulnerable populations and communities. Key concepts to be explored in this lab may include:

Communication and ownership

Cultural vs contextual implementation issues (scale/adaptability/fidelity)

Program implementation across a continuum and connections to other service systems

Needs Assessment & Capacity Building

1.2 Data Collection Presenters: Bob Sayles, Director of Information Management at Evidence‐Based Associates Leslie Byam, Program Director at Evidence‐Based Associates This lab is intended to build the participants’ capacity in thinking about how data can be used to improve program effectiveness. The lab will explore data collection methods for practitioners with low to moderate level of experience. Key concepts to be explored in this lab may include:

Resources for determining what to measure and how

Data collection tools

Use of data to inform decision‐making

Consistent feedback/reporting, leading to continuous quality improvement

Challenges and opportunities encountered with providing data and information to support the implementation of EBPs.

1.3 Evaluation Presenters: Matt Stagner, Senior Fellow and Director Chicago Human Services Research at Mathematica Dan Edwards, Ph.D., President at Evidence‐Based Associates Angela Clarke, Executive Director at PACE Center for Girls, Palm Beach County This lab is designed for participants who are more experienced in their data collection efforts and use of data. The targeted audience may or may not be those currently implementing an EBP, but participants who are well informed in their data management processes and are ready to move along the continuum toward evaluation or have already participated in evaluation(s). Key concepts to be explored in this lab may include:

Discussion of types of rigorous analysis that meet evidentiary standards

What to do if you’ve been collecting a lot of data, but are uncertain as to how to approach evaluation

Analysis of costs and outcomes

Consistent feedback/reporting, leading to continuous quality improvement


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1.4 Planning & Program Implementation (National Replication) Presenters: Nicole Janer, Director of Operations at Evidence‐Based Associates Margaret McCallister, Human Resources Generalist at Evidence‐Based Associates This lab will focus on the process of replicating a national EBP. Presenters will share critical elements to be considered, provide practical approaches and discuss success and challenges. Key concepts to be explored in this lab may include:

Organizing supervision and fidelity monitoring when implementing EBPs

Capacity and fit

Importance of relationship with developers

Quality Assurance & Continuous Quality Improvement (i.e. certification requirements, etc.)

Infrastructure‐sustainability planning at the beginning, the intangibles (things we often overlook when planning and implementing), staffing, training/professional development, financing, etc.

1.5 Planning & Program Implementation (Locally Designed) Presenters: Dean Fixsen, Ph.D., Senior Scientist Frank Porter Graham Child Development Institute at the University of North Carolina at Chapel Hill Clay Yeager, Senior Consultant at Evidence‐Based Associates This lab will focus on the process for transitioning locally designed programs to becoming evidence‐based. Presenters will share critical elements to be considered, provide practical approaches and discuss success and challenges. Key concepts to be explored in this lab may include:

Defining specifics in local program model and maintaining fidelity to these models

Standards for evidence‐based consideration

What is good enough?

Change management

Infrastructure‐sustainability planning at the beginning, the intangibles (things we often over‐look when planning and implementing), staffing, professional development, financing, etc.

1.6 Stakeholder Engagement Presenters: Susanne Luebke, Director of Lena Pope Early Learning Center Gary Graham, Director Mentor at Center United Way Palm Beach County James Green, Director, Palm Beach County Outreach & Community Programming The goal of this lab is to address the role of consumers and stakeholders in the successful implementation of EBPs within a community context. Presenters will provide insights and strategies for success in this area, processes used to select and engage consumers/stakeholders and lessons learned. Key concepts to be explored in this lab may include:

Partnership and leadership development

Scale and ability to reach target population

Ongoing engagement of consumers and stakeholders after program implementation


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Evidence‐Based Programming Labs Participants will learn about some of the top evidence‐based program models, practices and promising approaches to support services for children and youth in a variety of areas from early childhood through career entry. Presenters will share the models and the research behind them including outcomes achieved, replication information, target population, cost and other key information as available. Special attention will be given to highlighting the impacts of evidence‐based programs on “vulnerable populations.” 2.1 What Works: Child Welfare Presenter: Jan DeCoursey, Principal at JCDS Consulting This lab will highlight evidence‐based programs, interventions and practices that will engage stakeholders and partners in improving the well‐being of children, youth and families in the child welfare system. Areas of focus may include: safety, prevention, permanency, quality improvement, multi‐system collaborations and leadership, etc. 2.2 What Works: Early Childhood Presenter: Elizabeth Cavadel, Senior Researcher at Mathematica This lab will highlight evidence‐based programs, interventions and practices through the What Works Clearinghouse that target infants/toddlers and preschoolers in the areas of social‐emotional wellness, early literacy and best practices in preschool math. Other areas of exploration may include transitions—link from prenatal to age 5 and K‐12th grade. 2.3 What Works: Education Presenters: Cay Bradley, Senior Researcher at Mathematica Michael C. Kane, Guidance Specialist at Palm Beach County School District This lab will highlight evidence‐based programs, interventions and practices through the What Works Clearinghouse that support students’ (K‐12) social‐emotional learning and development. Other areas of exploration may include elementary school, middle school and high school transitions. 2.4 What Works: Juvenile Justice Presenter: Delbert Elliott, Ph.D.; Founding Director, Institute of Behavioral Science Center for the Study and Prevention of Violence at University of Colorado This lab will highlight evidence‐based programs and interventions proven effective for violence prevention and reduction in juvenile delinquency. Some of the top tier programs from Blueprints will be highlighted in this session. 2.5 What Works: Reengagement of Disconnected Youth Presenters: Jenni Villano, Educational Consultant, Retired Regional Director for District‐Wide Options in Portland Public Schools Nancy Reese, Assistant Director, Department of Secondary Education in Palm Beach County School District Michelle Dryer, Director of Community Partnerships at CareerSource Palm Beach County


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This lab will highlight evidence‐based programs, interventions and practices that support the development of essential skills necessary for education and workplace success. The lab will focus on interventions to support disengaged youth through the exploration of effective reengagement processes that connect children and youth to home, school and communities. Other areas of exploration may include transitions to post‐secondary, vocation and workforce opportunities and other aspects of career readiness. 2.6 What Works: Substance Abuse & Mental Health Presenter: Susanne Luebke, Director at Lena Pope Early Learning Center, Fort Worth, TX This lab will highlight evidence‐based programs, interventions and practices along the behavioral health continuum of care aimed at promotion, prevention, treatment and recovery to support the healthy growth and development of children and youth. 2.7 What Works: Youth Development Presenter: Matt Stagner, Senior Fellow and Director at Human Services Research This lab will highlight evidence‐based programs, interventions and practices that target positive youth Development and support children and youth reaching critical milestones for successful entry into adulthood.


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Proposed 2016 Calendar of Council Meetings Tom Sheehan, General Counsel

Notice of Council Meetings ‐ 2016

The Children’s Services Council of Palm Beach County holds public meetings the fourth Thursday of each month beginning at 4:30 p.m. with exceptions as noted below:

January 28, 2016 February 25, 2016

March 31, 2016* (*5th Thursday) April 28, 2016 – 2016/2017 Planning Session*

April 28, 2016* May 26, 2016 June 23, 2016

July, 2016 – no Council meeting August 4, 2016

1st September Council meeting/TRIM hearing – date not yet determined

2nd September meeting Council/TRIM hearing – date not yet determined October 27, 2016

November, 2016 – no Council meeting December 8, 2016

All meetings are held at the Council’s offices ‐ Ebbole Room, 2300 High Ridge Road, Boynton Beach.

*Monthly Council meeting preceded by CSC’s Annual Planning Session – Thursday, April 28, 2016, 4:00 p.m. to 6:00 p.m. (followed by Council meeting beginning at 6:00 p.m.)


12

Employee Service Awards Lisa Williams‐Taylor, Ph.D., Chief Executive Officer

There was one employee service award in August, 2015 ‐ Susan Craddock celebrates her 5 years of service.

CSC congratulates Susan and thanks her on her 5 years of service to CSC!

World’s Leading HR Organization Honors Children’s Services Council with Agency Award of Excellence Lisa Williams‐Taylor, Ph.D., Chief Executive Officer

The human resources program of Children’s Services Council of Palm Beach County will be receiving the highest honor for a small agency from the world’s leading public sector human resource organization. IPMA‐HR (International Public Management Association for Human Resources) will honor Children’s Services Council in September with the 2015 Agency Award for Excellence. The top award for a small agency is given to CSC for program initiatives, accomplishments and contributions in the past three years.

Along with recruitment, retention and individual goals, IPMA‐HR reviewed Children’s Services Council’s performance evaluation process, organizational learning plans, employee engagement and strategic and workforce planning. Children’s Services Council’s human resources program facilitates monthly training programs for administrative staff, monthly sessions for staff that focus on leadership development and an array of other opportunities for employees’ professional growth.

To further engage employees, Children’s Services Council has implemented a wellness program calendar that has highlighted such things as Hypertension Awareness Month and how to eat healthy and manage stress. For the most recent March of Dimes walk in West Palm Beach, human resources employees led a team of walkers from Children’s Services Council that consisted of about 40 percent of the staff.

The contributors to the award are Chief Operations Officer Leah Shaw, Director of Human Resources Shay Tozzi, Human Resources Generalist Melinda Cato, Human Resources Assistant Paulina Rudzinska, and Learning and Development Officer Jeanne Reid.

The award will be presented Sept. 28 in Denver with Shay Tozzi accepting it.

Project DULCE: Strengthening Families Through Enhanced Primary Care

RobertSege Boston Medical Center, Boston University School of Medicine

Margot Kaplan-Sanoff Boston Medical Center, Boston University School of Medicine

Samantha]. Morton Medical Legal Partnership I Boston, Boston, Massachusetts

M. Carolina Velasco-Hodgson Pontifical Catholic University of Chile, Diego Portales University

Genevieve Preer Boston Medical Center, Boston University School of Medicine

Grace Morakinyo Boston University School of Medicine

Ed DeVos Massachusetts School for Professional Psychology

julie Krathen Happy Baby, Boston, Massachusetts

ABSTRACT Project DULCE (Developmental Understanding and Legal Collaboration for Everyone) integrated the Strengthening Families approach to building family protective factors into routine health care visits for infants in a primary health care setting.The core collaboratorsBoston Medical Center pediatric primary care, the Medical-Legal Partnership I 'Boston, and Healthy Steps-contributed to the DULCE collaborative care model, which emphasized concrete supports and improving parent knowledge of child development and parenting. The intervention was delivered on a universal basis and demonstrated an efficient, costeffective way to reach families at risk because of economic hardship, making the approach suitable for widespread replication.

;'~; ediatric primary care offers a powerful opportunity for ~dr incorporating child development informacion, family ' support, and assistance with concrete needs for infants and

pediatric team can be a powerful ally in identifying and·supponing changes that the family makes for their new baby.

their families into routine health care visits. Change is constant during the first year of life with a newborn, for both baby and parents. The birth of a baby changes the family-there are new routines; new roles in the family; m!w equipment to manage; perhaps new housing or different employment status. The

Parents routinely seek information and support from the new baby's health care team during routine health care visits (formerly referred to as "we'tl child visits"). The timing and frequency of those early routine health care visits builds on parental trust which can both support their own motivation to make the

10 The journal of Zero to Three • September 2014

changes and empower them within fam ily Jnd informal support structures (e.g., "the doctor says . .. "). Federal and state heJlth care

legislation has made it possible for the vast majority offJmilies to access pediatric primary care services. As a result, pediJ t ricians

are the fi rst and often the only professionals to interact with

the family, to mon itor how the baby is growing and developing

throughout the ea rl y years, and to keep track of fami ly dynamics

and the parent-chi ld relationship.

Project DULCE

Pediatric care is nonsrigmarizing (with no identifying entrance

criteria) and provides the right time (earl y infancy) and right

place (health care has a high trust factor) fo r providing fam-

ily support ro new fami lies. Project DULCE (Developmental

Understanding and Legal Collaboration fo r Everyone), was a

collaboration between the ped iatric primary care cli nic at Bosron

Medical Center (BMC), the Medical-Legal Partnership I Boston

(MLP), and Healthy Steps for Young Children (Zuckerman,

Parker, Kaplan-Sanoff, Augustyn, & Barth, 2004). DULCE family

specialists and pediatricians served as a ream, with joint routine

healrh care visits that began with the first visits after nursery dis

charge until the baby's 6-month checkup. In addition, the family

specialist offered developmental screening for the children, risk

and protect ive factor screening and support, and home visits as

well as other contacts in person, and by phone, email, and text.

Project DULCE integrated the Strengthening Families approach

(see Jargon Buster on p. 60) to building famil y protective

facrors (Center for the Study of Social Policy, 2014; Schorr,

1997) into routine health care visits for infants in a primary

hea lth care setting. The Strengthening Famil ies approach seeks

to reduce the risk of child abuse and neglect by supporting key

family strengths. These strengths include: parental resi lience,

parent knowledge of child development and parenting, concrete

support in times of need, social connections, and social and

em otional competence of child ren. These factors also contrib

ute to secure attachments between parents and their infant.

The DULCE intervention paid particular attention to parental

knowledge and skills, helping fami lies obtain the concrete sup

ports they needed, and fostering secure attachment.

BMC

BMC provides pediatric primary care for an ethnically diverse

population of more than 11 ,000 children, most of whom are

poor. Similar to most U.S. pediatric practices, rou tine health

care at BMC is based on the Bright Futures gu idel ines (Hagan,

Shaw, & Duncan, 2008) developed by the Maternal and Child

Health Bureau in collaboration with th e American Academy

of Pediatrics. Bright Futures recommends five routine visits

by the time a child is 6 months old: withi n J-2 weeks post

nursery discharge, and then at 1, 2, 4, and 6 months old. The

Bright Futures outline of the content of anticiparory guidance

includes conveying information that assists paren ts in a broad

range of ropics. Recommended topics include in jury and

violence prevention, sleep issues, nutritional counseling, and

fostering optimal development. Bright Futures further highlights

Change is constant during the first year of life with a newborn, for both baby and parents.

parental well-being, infant behavior, growth and development,

and parent-child relationsh ip issues as salient factors for

pediatricians to address during well-child visits in the first year of

life .(Hagan et al., 2008).

HEALTI-IY STEPS FORYOUNG CHILDREN

DULCE collaborative care was based on the experience of the

Healthy Steps program, an evidence-based model of care imple

mented across the country, and one of several evidence-based

Affordable Care Act Maternal, Infant, and Early Childhood

Home Visiting programs. Developed as an approach ro provide

developmental information and parenting support through

primary care pediatrics fo r famil ies wi th infants and young

children, Healthy Steps reinforces the ability of primary care

to address the physical, emotional, and intellectual growth and

development of chi ldren from birth to 3 years old (Kaplan

Sanoff, 2001 ).

Healthy Steps expands the child health care model ro include a

new member of the team-the Heal thy Steps specialist-who

enhances knowledge of child development and parent sup

port through joint routine health care visits, ho me visits, and

telephone support (Kaplan-Sanoff, Lerner, & Bernard, 2000).

Specialists co-manage fami lies with pediatricians, ensuri ng that

the practice has the rime and expertise ro add ress each family 's

needs. Healthy Steps practices use a team approach, with both

the pediatrician and the specialist interacting in the exam room

at routine visits (Zuckerman, Parker, Kaplan-Sanoff, & Young,

1997). The specia list "holds the family in mind~ maintaining

a connection with families between routine health care visits.

She provides continuity by call ing the family ro check in or by

arranging a home or an office visit. Addressing such common

ropics as eating, sleeping, and crying du ring the fi rst months of

life can offer the possibi lity of exploring the parents' "ghosts"

(Fraiberg, Adelson, & Shapiro, 1975) and "angels in the nursery"

(Lieberman, Padron, Van Horn, & Harris, 2005; Zuckerman &

The Journal of Zero ro Three • Seprernber 2014 11

Zuckerman, 2005). By offering a home visit, the specialist can use "kitchen therapy" (Fraiberg, 1987) to provide support within the comfort and familiarity of the family's home while also observing the family's daily routines. The role of the DULCE family specialist is based on the Healthy Steps specialist

This team approach offers families enhanced routine health care visits which emphasize the promotion of children's development (Kaplan-Sanoff, Zuckerman, & Parker 1998). Initial3-year data indicated that the quality of pediatric care in the first 3 years of life was dramatically improved by changing the structure and process of pediatric care to support family strengths (Minkovitz et al., 2003 ). Families involved in the Healthy Steps program were more likely than non-participating families to:

1. Discuss concerns such as the importance of routines, discipline, language development, child's temperament, and sleeping patterns.

2. Use more positive and less harsh discipline strategies (i.e., avoid yelling, threatening, slapping, or spanking their child).

3. Tell someone in the practice when they are feeling sad or blue.

From the perspective of promoting healthy parenting, Healthy Steps helps parents better understand their child's behavior and development, thereby producing more favorable disciplinary practices and decreasing potential child abuse.

Healthy Steps specialists also offer screening and effective strategies for addressing adult mental health concerns which have been shown to impact child development outcomes (Center on the Developing Child at Harvard University, 2013 }. Healthy Steps mothers who had signs or symptoms of depression were 1.6 times more likely to report that they had discussed feeling sad with someone in their Healthy Steps practice (Minkovitz et al., 2003 }. A follow-up study when the child was 5.5 years old confirmed the initial findings reported when the children were 3 years old; Healthy Steps significantly changes the course of parenting for many parents enrolled in the program (Minkovitz et al., 2007}. More recently, a study (Buchholz & Talmi, 2012) showed that Healthy Steps families were more likely to have addressed language development, social skills, importance of play, daily routines, sleep, healthy eating, temperament, parental feelings including postpartum depression, home safety, and breastfeeding during primary care visits than were controls. These discussions support the Strengthening Families Protective Factors of parental resilience, knowledge of child development, and social-emotional competence in children.

ROLE OFTHE MLP

In order to best support the concrete needs of the diverse low-income population served, DULCE partnered with MLP, a national model that partners lawyers with health care teams in order to address patients' legal needs. MLP I Boston is the founding site of the national MLP network (now operating in nearly 300 health care settings across the U.S.) and a technical assistance leader in New England. The MLP model has been

endorsed by, among other organizations, the American Medical Association and the American Bar Association.

The MLP model recognizes that many low-income, medically vulnerable patient-families need. legal care to get and stay healthy. The family stress model (see Figure 1) illustrates the links between poverty and hardship and subsequent child maltreatment. Families who experience hardship in accessing the basic necessities of life such as food, shelter, heat, education, and health care are subjected to great stress. As one example, in winter many families who live in cold climates are forced to decide whether to "heat or eat:' As a result, many poor children experience slow growth during the winter months (Frank et al., 2006). Economic stress in turn increases the risk of harsh parenting styles and intrafamilial conflict. Brain research from the Center on the Developing Child (2013) suggested that the impact of neglect on young children over time is more detrimental to their brain development than other forms of child abuse. MLP support serves to help optimize concrete supports (e.g., housing subsidies, utilities protection, and access to food) for families.

The role of a family's social context in determining a child's health status is becoming better understood (Robert Wood johnson Foundation,2011).At the foundation ofMLP I Boston's work is the evidence-based premise that social determinants of health can be as impactful as biologic factors that predispose people to disease and functional limitations. Housing opportunity, educational opportunity, employment opportunity, environmental quality, poverty concentration, racial segregation, and numerous other social and environmental factors contribute to poor health. Many of these social problems can be addressed through legal advocacy. Sometimes it takes a legal advocate to provide comprehensive care to an individual or family whose housing conditions are causing health problems (e.g., asthma) or exacerbating chronic disease (e.g., sickle cell anemia). MLP I Boston partners with health care teams and supports them in screening, identifying, and referring patients' health-harming legal needs. It also facilitates free legal assistance for patients through a range of partners, including 20 law firm and in-house pro bono partners.

One clear example of a legal problem that can threaten a child's well-being focuses on a child born in this country to immigrant parents. Although the child is a legal U.S. citizen entitled to benefits, it is not unusual for household members' immigrationbased eligibility to be misconstrued and the family's benefits to be miscalculated resulting in either a denial of food stamp benefits or an inappropriately low benefits award. Simple legal advocacy can reverse the erroneous determination and ensure that benefits are awarded retroactively, allowing the family the support needed to feed their child.

Project Background and Rationale

Project DULCE combines the reach and retention of primary health care for infants with the goals and strategies of universal home visiting. Almost all infants in the U.S. are seen for primary care. According to the Annie E. Casey Foundation (2012), by the

12 The journal ofZero to Three • September 2014

year 2010,92% of American chi ldren had some form of health

insurance. The implementation of the Affordable Care Act sug

gests that this number will rise, making virtually all American

children eligible for health care. Federa l data showing that more

than 80% of U.S. children have received recommended immuni

zations by 3 months old demonstrates the widespread reach of

routine health care fo r infants (Centers for Disease Control &

Prevention, 2012).

Public policy in the U.S. provides families access to health care.

Both public policy and social norms in this country encourage

families to bring their children in for routine health care. This is

expressed through multiple policies that affect young ch ildren.

For example, health care providers must sign off on forms for the

Special Supplemental Nutrition Program for Women, Infants

and Children (W IC ) program, and immunization records are

required for registering in early childhood education, child

care programs, and public schools. Because routine pediatric

care is such an important and universal component of caring for

young children, it stands in contrast to the perceived stigma that

may be attached to other efforts to reach high risk families.

As described in Bright Futures, there are five routine well-care

visits for infants from birth to 6 months old. This combina-

tion of reach and multiple scheduled interactions presents an

opportunity to develop an efficient, low-cost method of reaching

infants and their families.

FIGURE 1. Link Between Poverty and Ch ild Maltreatment

Upstream Factors

Food Insecurity

Housing, Utilities Insecurity

Incom e Insecurity

Legal Needs

Adverse Childhood Experiences (ACE)

Family

Family Economic Pressure

The Strengthening Families approac'n to 'bui1ding family

protective factors (Center for the Study of Social Policy, 2014;

Schorr, 1997), which emphasizes the promotion of optimal child

development and parental res ilience, is compatible with the

universal aspect of health care. All famjlies benefit from supporr

for protective factors as well as screening for and add ressing risk factors. DULCE family specialisrs engaged families in formu lat

ing and achieving their own goals in raising their children, whi le

screening for social risk factors which impact chi ld development.

Routine primary care provided by the DULCE team of pedia

tricians and family specialists capitalized on the convenience

of being able to reach families during the first 6 months of a

baby's life through frequent scheduled routine health care visits.

In doing so, it integrated family support into this period which

is known to be one of high risk fo r severe or lethal child abuse.

National data from 2011 suggested that most child maltreat

ment deaths occurred during the first year of life, and most of

those during the first 6 months. Abusive head trauma, the most

common form of lethal child abuse, peaks prior to 6 months old.

With this background, Project DULCE set out to leverage the

social support, reach, and intensity of pediatric health care with

focused interventions based on evidence-based practices in home

visiting and support programs.

Downstream Factors

Parent Emotional and Behavioral Problems

Inter-Parental Conflict and Low Warmth

Child Problem Behaviors

Non-Nurturing and Harsh Parenting

Child Abuse and Neglect

The Journal ofZ~:ro to Three • September 201 4 13

IIVi?LEMEI\. "t..TIOJ'"

"' c Project DULCE was a research and demonstration project conducted within the pediatric pri mary care clinic at

BMC. BMC, si mi lar to other clinics affiliated with urban teaching hospitals, serves

::J

a; "' .:= u

:§ E 0 u ci 0 -g_ """ u 0

0 i:i 0 .:= Cl.

Both public policy and social norms in th is country encourage families to bring their children in for routine health care.

a largely poor population. During the time of the study,

approximately 80~6 of the families seen at BMC received

health care through Medicaid,

Medicaid-managed care, or state-subsidized child health

insurance.

Many similar settings-both

academic health centers and

com mu nity health centers-around the country provide primary health care fo r child ren living in poverty who experience

considerable economic stress. DULCE family specialistS worked

to support family strengths in these low-income families. The Strengthening Famil ies approach suggeStS that improving con

crete supportS and increasing parent knowledge are key elements

of a strategy to preventing neglect and abuse of very young infantS at a time when they are most vulnerable to the devastat

ing effectS of child maltreaunent.

The project was evaluated using a randomized controlled trial design; resul tS of the evaluation are currently being prepared

for publication. The DULCE evaluation team recruited all

families with healthy newborns who were receiving their pediatric routine health care at BMC. Those with significantly premature babies, those who received primary care in languages

other than English or Spanish, and those with chi ld protective

services involvement were not recru ited. Families were randomly

assigned to either the intervention or control group after consent. Control group families receive standard, high-quality health care delivered by a BMC pediatrician and further instruction and

support in safe sleep and safe transport.

The DULCE intervention goals focused on three protective

factors within the overall Strengthening Families approach:

(a) helping parentS develop knowledge of child development and

parenting, (b) increasing parental resi lience through advocacy and growing feelings of parental competence in cari ng for their child, and (c) improving parentS' access to concrete supportS.

With specialized training and support from MLP staff, the family

specialist was able to guide families seeking information and assistance related to concrete supports such as housing options, food resources, utili[)' service, child care, maternal mental health

and employment. The core intervention included:

• Joint health care visitS with the DULCE family specialist joining the family and pediatric team for

each routine visit at 2 weeks, 1 month, 2 months, 4 months, and 6 months old.

• Home visits offered to each family. These visits,

based on the home visit protocols of the Healthy Steps program for a newborn home visit. allowed

the fami ly specialiStS to interact with the mother and chi ld in their own environment and conduct

and discuss the chi ld development and screenings for family risk and protective fac tors. Mothers often felt more comfortable interacting wi th their

babies in their home settings and were more open

w discussing their concerns about their child or their fami ly in a private setting. Those fami lies who were experiencing a crisis were offered-and usually

accepted-more home visitS, on the basis of the

intensity of their need.

• Developmental screening for the infantS and

screening for concrete supportS and protective and

risk factors for the families. The famil y specialist

admin istered a screening focused on the need for

concrete supportS, such as food and housing, and on parental risk and protective facwrs, such as maternal

mental health, community affiliation, and exposure to violence; 20 families were identified who had

particularly intense needs for assistance.

• Telephone, email, and text message support by

DULCE family specialists. Many of the families used these methods of interacting with the family

specialist, either to get questions answered or to follow-up after a visit to discuss topics in more depth.

• Ensure continuity of needed services. When the child was 6 months old, the fam ily specialist ensured

that the family was engaged with their primary care

team and any other ongoing services at BMC or in

their neighborhood, as necessary, including W lC, housing wait lim, utility shut-off protection, early

intervention, and child care.

wJLCE FAMILY SPECIALISTS

The DULCE family specialistS delivered the intervention ro each fami ly. Recruitment and training of the fami ly specialiStS was key

to the project. ·

Recruitment

The intervention's efficacy rested on the training and skills of

the family special istS. DULC E recruited highly competent child

development specialistS with m aster's degrees in chi ld development, socia l work. or child life to team wi th the pediatricians to

implement the program. Family specialistS were chosen for their

academic knowledge, clinical skills, ability to work in a complex

setting, and ability to work as part of a team caring for a diverse

group of low-i ncome families.

Training

Extensive train ing. described in detail in the online implemen

tation manual (Project DULCE, 2013 ), ensured that families

could rely on the DULCE famil y specia liStS for entry into a

comprehensive network of support that assisted the family in

14 The j ournal of Zero to Three • September 2014

adapting to the needs of their infant and extended family. Family specialists attended an intensive 1-day MLP I Boston training designed to teach non-legal professionals how to advocate for families regarding benefits and services they were eligible for and how to respond when families were denied or cut off from benefits. Training continued through consultation with the MLP paralegal or attorney who either guided the family specialist on the next step of the process or who contacted the family directly. Initially, the family specialist needed to consult on a regular basis with MLP staff regarding housing, child care, utilities, and other needed services. This individual coaching both allowed the family specialist to deliver an informed service to better assist families in their unique needs and provided ongoing training so that they were soon able to address common issues with less direct MLP support.

Family specialists were also trained by the Healthy Steps national project director in the Healthy Steps approach. They received additional training in the Fussy Baby approach from the National Fussy Baby Institute at Erikson Institute; Neonatal Behavioral Observation (NBO; Brazelton & Nugent, 1995), which was used during the newborn home visit; and the Strengthening Families approach. In addition, they attended in-service training on working with families struggling with domestic violence and addiction. These trainings allowed the family specialists to support families who were struggling with extremely fussy babies or mothers who were impacted by familial violence, addiction, or both. Many of the BMC pediatricians had already participated in an earlier Healthy Steps training, so they were prepared to co-manage families with the family specialist.

Supervision and Support DULCE family specialists met weekly with the core clinical team of lead pediatricians, family specialists, and directors of Healthy Steps and MLP for case review. These regular meetings allowed the team to discuss cases, address concerns, and share best practices. Supervision was delivered in a group setting, as well as in one-to-one interaction, especially at the beginning of the intervention. Clinical supervision provided an opportunity to think about the family specialist's, child's, and parent's feelings, thoughts, and actions, and put in practice the reflective function; providers' reflective skills (listening, observing, responding, and wondering) can be a key element of change in parent-professional relationship (Tomlin, Sturm, & Koch, 2009). Reflective function in parents is central to the formation of secure infant attachment and can be supported through the parallel process in relationships by providers' safe and trusting relationships with parents (Fonagy, Gyorgy,Jurist, & Target, 2005). On one occasion, a family specialist needed to assist a family in the emergency room because the 2-month-old had a high fever and the mother was alone with the child at the hospital. The family specialist addressed the mother's distress and anxiety and helped her calm down and feel confident about the staff that was assisting her child. Through this intervention, the mother was then able to comfort and calm her baby and focus her attention on her baby's needs at that moment.

Interventions such as these were possible because the family specialists had been trained and mentored by their supervisor on reflective skills and how to apply them in the interaction with families.

Evaluation Findings and Implications

The research and demonstration project was designed to assess the feasibility and effectiveness of the DULCE model. First and foremost, the project demonstrated the feasibility of this approach. It can be implemented without disrupting the clinic's basic

Learn More

Project DULCE www.bmc.org/ProjectDULCE.htm

Medical-Legal Partnership www.medicallegalpartnership.org

Medical-Legal Partnership I Boston www.mlpboston.org

Healthy Steps for Young Children www.healthysteps.org

Fussy Baby Network www.erikson.edu/ fussybaby

workflow by having the family specialist meet with families while they are waiting to see the pediatrician. This allowed their services to fit within the typical 1 hour that families spent at the clinic for each routine health care encounter and the careful planning engaged the pediatricians' enthusiastic support for infusing DULCE into the clinic. Second, the families accepted the project. Although our team had some concerns that families would find it too invasive, our data demonstrated that the dropout rate was slightly lower in the intervention (8.4%) than in control families (12.8%), demonstrating family acceptance of the DULCE intervention model.

Families sought out the support of their DULCE team. DULCE intervention families generally received the recommended intervention; all but one received at least one joint visit with the pediatrician and family specialist during a routine health care visit. Optional home visits were offered to every family; over half had at least one home visit. Families and family specialists connected through a variety of means: 97% of families engaged with the family specialist through phone calls, 39% met in person outside of a health care or home visit, 31% exchanged text messages, and 29% communicated through email.

The following themes emerged from a review of 20 individual participants who had the most intense interactions with the DULCE family specialists. (See box Case History: How DULCE Supported John's Family for one family's story).

1. Many of these mothers had recent experience with intimate partner violence. Family specialists supported mothers in a variety of ways, including improving access to concrete supports, improving connections to domestic violence advocates who helped families develop a safety plan, and discussing the relationship between infant crying and family stress.

2. Many families faced challenges due to concerns about the immigration status of one or more members. In one particular situation, the mother's immigration issues

The journal of Zero to Three • September 2014 15

16

Case History: How DULCE Supported John's Family

The Project DULCE (Developmental Understanding and Legal Collaboration for Everyone) family specialist met baby John and his parents, Cynthia and Robert, at his 1-month routine health care visit when he was 22 days old. Cynthia and baby John lived in a shelter in the Boston area. Robert lived in a halfway house. Although they did not live together, Cynthia reported that Robert was supportive and involved. She also reported other social connections, such as support from some of Robert's family in the area, and some connections to concrete supports. The family was already enrolled in the Women, Infants, and Children (WIC) nutrition program and they received food stamps and cash assistance; they had a housing advocate and case worker provided by the shelter. Yet during the income screening the family specialist learned that the family still had some concerns about food insecurity and information was provided about the Boston Medical Center food pantry and other food pantries in the area. The family specialist followed up by phone between John's 1- and 2-month routine health care visits. ·

At the 2-month routine health care visit both parents came to the appointment again. Cynthia asked some appropriate questions about baby John's development. She also demonstrated knowledge of John's development, saying that she sees him doing a lot of things she didn't think would happen yet. For example, she reported she talks to him a Jot and was noticing he was responsive to her vocalizations and beginning to smile. In addition to information about child development the family specialist followed up with a housing and utilities screening and learned that the family is waiting to see if they would receive a section 8 housing voucher. They also asked for assistance in accessing a pack n' play for safe sleep, as well as clothing and books for John. The family specialist made a request for these donations through the local Cradles to Crayons organization. During the 2-month routine health care visit, the family specialist offered a home visit to continue the discussion about John's development, tummy time strategies, and mother's concerns about spoiling. Cynthia eagerly accepted the offer.

The first two home visits were focused on child development and family support. During the first visit Cynthia spoke openly about how she thought John was doing, she noted new skills she observed, and she discussed her concerns about sending John to child care when she went back to school in September.

At the second home visit, Cynthia invited the family specialist to her room, where she had set up a small area on the floor with a child's play mat and some toys. The family specialist sat on the floor with her and observed John on his tummy. As they watched him, the family specialist asked questions about his development using the Ages and Stages Questionnaire {Bricker, & Squires, 2009) as a tool to guide the conversation. After a lengthy discussion about John's developmental accomplishments, the family specialist provided some strategies to use to continue to promote his development. Cynthia reported that John's father continued to see them frequently but she also felt like she had less family support than she had when John was first born. The family specialist encouraged.Cynthia to think about a person she could call when she needed to take a break, and she was able to identify a cousin with whom she tries to go to the gym regularly.

Although one or two home visits were a typical part of the DULCE intervention, this family received three because the mother requested a third visit to follow up on concerns of social isolation and increased-levels of stress associated with parenting that were expressed during a routine health care visit. Cynthia was starting to open up more with the family specialist as she gained trust in that relationship. The family specialist determined one more visit would be appropriate as the discussion was changing from observations of child development to other more sensitive family concerns.

At the third home visit Cynthia shared that a Department of Children and Families case that she hoped would go away was still open. She disclosed information about the domestic dispute that led to the department's involvement and also discussed the effects of Robert's alcoholism and mental illness on their relationship. Cynthia reported high levels of stress over concern for how best to care for and provide a safe environment for her child. The family specialist provided support for Cynthia during the visit and gave her information about counseling programs as the mother admitted she was feeling very overwhelmed. After this visit, the family specialist consulted with John's pediatrician, Boston Medical Center social workers, and the Medical-Legal Partnership about all the concerns Cynthia had raised during the home visit. The family specialist continued to have frequent communications with Cynthia to provide her with the information gathered from Medical-Legal Partnership, as well as information for a safety and support advocate line and the National Domestic Violence Hotline.

In the next 3 months that the family specialist and the family worked together, Cynthia continued to show great strength and resilience. While starting a job training program, sending John to child care for the first time, and dealing with crises in her relationship with Robert, she was also able to find an apartment to move into with her son using her newly obtained section 8 voucher. The family specialist continued to provide support and resources through phone conversations and meetings at routine health care visits. The family specialist provided Cynthia with information about utility shut-off protection and a fuel assistance program for her new apartment.

Although most parents take their new babies to the pediatrician for health care, few experience the intense and varied support that this fragile family received thfough DULCE. Although John's health and development were following normal developmental lines, his family, particularly his mother, was facing multiple stressors that increased the risk for an inappropriate parent-child relationship and for maltreatment. Although it was a time-limited intervention, the DULCE team supported Cynthia during a critical time in her life, as she navigated the transition to new parenthood, handled a volatile and troubled intimate partner relationship, strengthened her social support network, and found stable housing. These achievements allowed her to pursue her educational goals, moving her further toward her goals of economic selfsufficiency.

The journal of Zero to Three • September 2014

made her so despondent that she told the family specialist that she was considering suicide. The family specialist intervened by linking her with legal suppon for immigration issues and personally accompanied her to an emergency mental health intake. Fortunately, by the end of the study, the situation had resolved; the mother was feeling emotionally stable and able to move to another community where she had more family support. Another immigrant mother qualified for refugee status and was assisted in linking with specific supports for individuals seeking asylum in the U.S.

3. Many mothers lacked adequate education. In the highintensity cases, the family specialist linked mothers to GED programs and English as a Second Language programs and helped them obtain child care to allow them to continue their education. Funhermore, these cases often involved the use of other formal and informal supports, and often involved other family members. For example, after the family specialist referred the infant's older sibling, a child with language delay, to an early intervention program, the child's mother asked for help with a referral for herself to the Massachusetts adult literacy hotline. In another case, the family specialist helped the grandmother enroll in an English as a Second Language program.

Pediatric primary care settings offer an ideal environment on which to scaffold programs that use relationship-based practice to strengthen families, prevent maltreatment, and optimize development. As one of the mothers commented, "It's amaz-ing the services you can get just by coming to your daughter's physician ... First, he referred me to you [family specialist]. Then you have connected my family to several services we needed. And [they] are also connecting me with other services ... but everything staned just by going to an appointment with my daughter's physician:' As the DULCE model demonstrates, it is possible to deliver exceptional quality child development information and family suppon to high-risk families in a cost-effective approach and without stigma.

Margot Kaplan-San off, EdD, is associate professor of pediatrics, Boston University School of Medicine. and national director of Healthy Steps. Dr. Kaplan-Sanoff has trained more than 75 sites nationwide to implement Healthy St~ps in pediatrics and family medicine. She is the child development coordinator for Project DULCE and has been responsible for the adaptation of Healthy Steps in many communities. She is also involved in training pediatricians, pediatric residents, and fellows in child development and infant mental health.

Robert Sege, MD, PhD, is a professor of pediatrics at Boston University School of Medicine and director of the Division of Family and Child Advocacy at Boston Medical Center. He is a national leader in developing a health care approach to the prevention of violence and abuse and is a member of the American Academy of Pediatrics' Committee on Child Abuse

and Neglect. a senior fellow at the Center for the Study of Social Policy in Washington, DC, and a board member of Prevent Child Abuse America.

Samantha J. Morton, JD, is executive director of Medical-Legal Partnership I Boston (MLP I Boston), the founding site of the national MLP network. She previously served as deputy director and staff attorney at Medical-legal Partnership for Children, the precursor organization to MLP 1 Boston that housed both national and local programs and focused on pediatric populations. Ms. Morton is a national expert on how legal strategies can be deployed to address social determinants of health and how the health care community and legal community can better align to leverage these strategies in service of peoples' health and well-being. Her early years as an MLP public interest lawyer included a focus on immigration advocacy. Ms. Morton has published and presented extensively on MLP practice.

Genevieve Preer, MD, is assistant professor of pediatrics, Department of Pediatrics, Boston University School of Medicine, and a pediatrician in the Department of Pediatrics, Boston Medical Center. Dr. Preer attended medical school at the University of California, San Francisco, and completed her residency in the Boston Combined Residency Program in Pediatrics at Boston Children's Hospital and Boston Medical Center. Dr. Preer is a member of the Division of Family and Child Advocacy at Boston Medical Center and is a member of the hospital's Child Protection Team. Her interests include health advocacy, child abuse prevention, and social justice.

M. Carolina Velasco-Hodgson, MSW, is adjunct assistant professor at the School of Social Work, Pontifical Catholic University of Chile, a part-time professor at the School of Psychology, Diego Portales University, and an infant and child psychotherapist in private practice. Ms. VelascoHodgson is a bilingual clinician with more than 10 years of experience specialized in providing clinical services to children and their families exposed to trauma or other difficult life experiences. She attended psychology school in Chile and, after obtaining a Fulbright Scholarship, she completed her master's in social work at Boston College. She was a family specialist for the first year of DULCE Project, and has collaborated with the National Child Traumatic Stress Network Translation Review Committee since 2011. She currently works in Chile and her interests include trauma prevention and intervention, child development, and child-parent bonding and attachment.

Grace Morakinyo is a program manager at Bost9n University. Ms. Morakinyo is a seasoned health care professional with more than a decade of industry experience. Ms. Morakinyo has a strong background in program planning, implementation, and evaluation, with recent successes in implementing federally funded grants targeting families of young children.

Edward DeVos, EdD, is the associate vice president for research at Massachusetts School of Professional Psychology. He is a research psychologist with a long-standing commitment to evidence-based programming from both a research and social policy perspective. Dr. De Vas is committed to improving treatment for children and families who are suffering and to enhancing prevention for youth and families at risk.

Julie Krathen, MA, earned a master of arts in child development in 201 0. Ms. Krathen worked most recently as a child development specialist in the neonatal intensive care unit High Risk Infant Follow-up Clinic at Santa

The Journal of Zero to Three • September 2014 17

Clara Valley Medical Center in San Jose. CA. where she launched the home visiting Bayley developmental assessment program to help improve clinic follow-up for the high-risk infants and provided assessment and support to families in the children's natural environment. Previous to this

REFERENCES

Annie E. Casey Foundation. (2012). 2012 Kids count data book: State trends in child well-being. Retrieved from www.aecf.org/KnowlcdgeCcntcr/ Pu blications.aspx?pu bguid={ 68E8B294·EDCD-444D·85 EkD I C 15761BOFF}

Brazelton, T. B.,& Nugent,]. K., (Eds.). ( 1995). Neonatal behavioral assessment scale. Cambridge, MA: Cambridge University Press.

Bricker, D., & Squires,]. (2009). Ages and Stages Questionnaire (3rd ed.; ASQ-3) and Ages and Stages Questionnaire: Social-Emotional (ASQ-SE). Baltimore, MD: Brookes.

Buchholz, M., & Talmi, A. (2012). What we talked about at the pediatrician's office: Exploring differences between Healthy Steps and traditional primary care visits. Infant Mental Health journal, 33(3), 1-7.

Center on the Developing Child at Harvard University. (2013). The science of neglect: The persistent absence of responsive care disrupts the developing brain: Working Paper 12. Retrieved from http://developingchild.harvard.edu/ inde.x.php/rcsources/rcporu_and_working_paperslworking_paperslwpl2

Center for the Study of Social Policy. (2014). The protective factors framework. Retrieved from www.cssp.org/rcform/strcngthening-familics/ the-basics/protective-factors

Centers for Disease Control and Prevention. ( 2013). Estimated vaccination coverage• with individual vaccines by 3 months of age by state and local area US, National Immunization Survey Q1/2012-Q412012. Retrieved from www. cdc.gov/vaccines/imz-managers/coverage/imz-coveragc.html

Fonagy, P., Gyorgy, G.,Jurist, E., & Target, M. (2005).~ct regulation, mentalization, and the development of self. New York, NY: Other Press.

Fraiberg, S. (1987). Ghosts in the nursery: A psychoanalytic approach to the problems of impaired infant-mother relationships. In L. Fraiberg (Ed.), Selected writings of Selma Fraiberg. Columbus: Ohio State University Press.

Fraiberg, S., Adelson, E., & Shapiro, V. (1975). Ghosts in the nursery: A psychoanalytic approach to the problems of impaired infant-mother relationships.journal of the American Academy of Child Psychiatry, 14, 387-421.

Frank, D., Neault, N., Skalicky, A., Cook,J,. Wilson,J., Levenson, S., ... Berkowitz, C. (2006). Heat or eat: The low income home energy assistance program and nutritional and health risks among children less than 3 years of age. Pediatrics, 118,2005-2943.

Hagan,J. F., Shaw,J. S., & Duncan, P. (Eds.) (2008). Bright Futures guidelines for health supervision of infants, children, and adolescents (3rd ed.) Elk Grove Village, IL: American Academy of Pediatrics.

position Ms. Krathen was a family specialist for Project DULCE at Boston Medical Center. She also has several years of experience working in early intervention in Massachusetts.

Kaplan-Sanoff, M. (2001) Healthy Steps: Delivering developmental services for young children through pediatric primary care. Infants and Young Children, 12(3), 69-76.

Kaplan-Sanoff, M., Lerner, C., & Bernard, A. (2000). New roles for developmental specialists in pediatric primary care. Zero to Three, 18(2),17-23

Kaplan-Sanoff, M., Zuckerman, B., & Parker, S.( 1998). Strategies for change: Healthy Steps for young children. New York, NY: The Commonwealth Fund.

Lieberman, A, Padron, E., Van Horn, P., & Harris, W. (2005). Angels in the nursery: The intergenerational transmission of benevolent parental influences. Infant Mental Health journal, 26(6),504-520.

Minkovitz, C. S., Hughan, N., Strobino, D., Scharfstein, D., Grason, H., Hou, W., ... Guyer, B. (2003 ). A practice-based intervention to enhance quality of care in the first 3 years of life: The Healthy Steps for Young Children Program.jAMA, 290(23),3081-3091.

Minkovitz, C. S., Strobino, D., Mistry, K. B., Scharfstein, D. 0., Grason, H., Hou, W., lalongo, N., ..• Bernard Guyer. (2007). Healthy Steps for young children: Sustained results at 5.5 years.Pediatrics,120(3), e658-e668.

Project DULCE. (2013 ). Project DULCE implementation manual. Retrieved from www.bmc.org!Project-DULCE/manual.htm

Robert Wood johnson Foundation. (201 I). Health care's blind side: The overlooked connection between social needs and good health. Retrieved from www.rwjf.orglcontent/dam/farmlreports/surveys _ and_polls/2011/nvjf'71795

Schorr, L. (1997). Common purpose: Strengtheningfamilies and neighborhoods to rebuild America. New York, NY: Random House.

Tomlin, A.M., Sturm, L., & Koch, S.M. (2009). Observe, listen, wonder, and respond: A preliminary exploration if reflective function skills in early care providers. Infant Mental Health journal, 30( 6), 634-647.

Zuckerman, B., Parker, S., Kaplan-Sanoff, M., Augustyn, M., & Barth, M. C. (2004). Healthy Steps: A case study of innovation in pediatric practice. Pediatrics, 114(3), 820-826.

Zuckerman, B., Kaplan-Sanoft M., Parker, S., & Young, K. T. (1997). The Healthy Steps for Young Children program. Zero to Three, 17(6), :20-25.

Zuckerman, B., & Zuckerman, P. (2005). The pediatrician as a ghostbuster: Angeles, voices, and kisses. Infant Mental Health journal, 26(6), 526-532.

Errata On page 29 of the July 2014 issue, the citation in the box in the middle column should read:

18

St. John, M. S.,Thomas, K., Nororia, C. R •• & Irving Harris Foundation Professional Development NetworkTenetsWorking Group. (2012).1nfant mental health professional development: Together in the struggle for social justice. Zero to Three. 33(2), 13-22.

The Journal of Zero to Three • September 2014

TRIM PUBLIC HEARING September 10, 2015 – 6:00 p.m.

1

CHILDREN’S SERVICES COUNCIL OF PALM BEACH COUNTY

TRIM PUBLIC HEARING, SEPTEMBER 10, 2015

COVER PAGES Agenda & Synopsis of Exhibits

EXHIBIT I Certification of Taxable Value/Independent Special District

Maximum Millage Levy Calculation Preliminary Disclosure ______________________________________________________________________________ EXHIBIT II Comparison of Proposed 2015‐2016 Budget to Approved

2014‐2015 Annual Budget ______________________________________________________________________________ EXHIBIT III Proposed 2015‐2016 Annual Budget by Fund ______________________________________________________________________________ EXHIBIT IV Proposed 2015‐2016 Annual Budget by Department

(General Fund) ______________________________________________________________________________ EXHIBIT V Notes ______________________________________________________________________________ EXHIBIT VI Proposed TRIM Advertisement

2


TRIM PUBLIC HEARING

September 10, 2015, 6:00 p.m.

2300 High Ridge Road, Boynton Beach, FL

AGENDA 1. CALL TO ORDER 2. AGENDA A. Additions, deletions, substitutions B. Adoption 3. 2015‐16 TENTATIVE BUDGET A. Percent increase above roll‐back rate 6.85% B. Presentation C. Public Comment D. Review 4. 2015‐16 TENTATIVE MILLAGE RATE ‐ .6677 A. Review B. Public Comment C. Tentative Adoption 5. TENTATIVE ADOPTION OF 2015‐16 BUDGET A. Tentative adoption of 2015‐16 budget 6. ANNOUNCEMENT OF FINAL TRIM HEARING – SEPTEMBER 24, 2015 – 6:00 P.M. 7. PERCENT BY WHICH PROPOSED MILLAGE RATE IS MORE THAN THE ROLL‐BACK RATE –

6.85% 8. ADJOURNMENT

3

CERTIFICATION OF TAXABLE VALUEDR-420 R. 5/12

Rule 12D-16.002 Florida Administrative Code

Effective 11/12

Year : County :

Principal Authority : Taxing Authority :

SECTION I : COMPLETED BY PROPERTY APPRAISER

1. Current year taxable value of real property for operating purposes $ (1)

2. Current year taxable value of personal property for operating purposes $ (2)

3. (3)Current year taxable value of centrally assessed property for operating purposes $

4. (4)Current year gross taxable value for operating purposes (Line 1 plus Line 2 plus Line 3) $

5. (5)Current year net new taxable value (Add new construction, additions, rehabilitative improvements increasing assessed value by at least 100%, annexations, and tangible personal property value over 115% of the previous year's value. Subtract deletions.)

$

6. (6)Current year adjusted taxable value (Line 4 minus Line 5) $

7. (7)$Prior year FINAL gross taxable value from prior year applicable Form DR-403 series

8. (8)Does the taxing authority include tax increment financing areas? If yes, enter number of worksheets (DR-420TIF) attached. If none, enter 0

Number

9. (9)NumberDoes the taxing authority levy a voted debt service millage or a millage voted for 2

years or less under s. 9(b), Article VII, State Constitution? If yes, enter the number of DR-420DEBT, Certification of Voted Debt Millage forms attached. If none, enter 0

SIGN

HERE

Property Appraiser Certification I certify the taxable values above are correct to the best of my knowledge.

Date :

SECTION II : COMPLETED BY TAXING AUTHORITY

If this portion of the form is not completed in FULL your taxing authority will be denied TRIM certification and possibly lose its millage levy privilege for the tax year. If any line is not applicable, enter -0-.

10. Prior year operating millage levy (If prior year millage was adjusted then use adjusted millage from Form DR-422) (10)per $1,000

11. (11)Prior year ad valorem proceeds (Line 7 multiplied by Line 10, divided by 1,000) $

12. (12)$Amount, if any, paid or applied in prior year as a consequence of an obligation measured by a dedicated increment value (Sum of either Lines 6c or Line 7a for all DR-420TIF forms)

13.

14.

(13)

(14)

Adjusted prior year ad valorem proceeds (Line 11 minus Line 12) $

$Dedicated increment value, if any (Sum of either Line 6b or Line 7e for all DR-420TIF forms)

15. (15)$Adjusted current year taxable value (Line 6 minus Line 14)

16. Current year rolled-back rate (Line 13 divided by Line 15, multiplied by 1,000) per $1000 (16)

17. (17)per $1000Current year proposed operating millage rate

18. (18)

$

Total taxes to be levied at proposed millage rate (Line 17 multiplied by Line 4, divided by 1,000)

Continued on page 2

YES NO

YES NO

Signature of Property Appraiser:

PALM BEACH

94,131,348

102,176,959

150,630,090,136

✔

0.6745

132,154,920

2,398,154,717

2015

Print Form

0.6249

Electronically Certified by Property Appraiser


6/25/2015 8:18 AM

0

0

143,520,975,114

139,557,224,761

150,630,090,136

PALM BEACH CHILDREN'S SERVICES

0

94,131,348

✔

9,375,114,819

0.6677

153,028,244,853

0

Reset Form

17

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Exhibit I

DR-420 R. 5/12 Page 2

19. TYPE of principal authority (check one)County Independent Special District

(19)Municipality Water Management District

(20)20.Applicable taxing authority (check one) Principal Authority Dependent Special District

MSTU Water Management District Basin

21. (21)Is millage levied in more than one county? (check one) Yes No

DEPENDENT SPECIAL DISTRICTS AND MSTUs STOP HERE - SIGN AND SUBMIT

22. (22)$

Enter the total adjusted prior year ad valorem proceeds of the principal authority, all dependent special districts, and MSTUs levying a millage. (The sum of Line 13 from all DR-420 forms)

23. Current year aggregate rolled-back rate (Line 22 divided by Line 15, multiplied by 1,000) (23)per $1,000

24. (24)$Current year aggregate rolled-back taxes (Line 4 multiplied by Line 23, divided by 1,000)

25. (25)$Enter total of all operating ad valorem taxes proposed to be levied by the principal taxing authority, all dependent districts, and MSTUs, if any. (The sum of Line 18 from all DR-420 forms)

(26)Current year proposed aggregate millage rate (Line 25 divided by Line 4, multiplied by 1,000)

per $1,000

(27)Current year proposed rate as a percent change of rolled-back rate (Line 26 divided by Line 23, minus 1, multiplied by 100)

%

S

I

G

N

H

E

R

E

Taxing Authority Certification

I certify the millages and rates are correct to the best of my knowledge. The millages comply with the provisions of s. 200.065 and the provisions of either s. 200.071 or s. 200.081, F.S.

Date :

Title : Contact Name and Contact Title :

Mailing Address : Physical Address :

City, State, Zip : Phone Number : Fax Number :

Instructions on page 3

First public

budget hearing

Date : Time : Place :

27.

26.

Signature of Chief Administrative Officer :

0.6677

6:00 PM EST

2300 HIGH RIDGE ROAD

9/10/2015

0.6249

5618351956

✔

7/23/2015 2:36 PM

102,176,959

✔

Electronically Certified by Taxing Authority

95,627,350

BILL COSGROVE, CFO

✔

5617407000 ext 2153BOYNTON BEACH, FLORIDA 33426

6.85

94,131,348


2300 High Ridge Road Boynton Beach Florida 33426

LISA WILLIAMS-TAYLOR PH.D, CEO

5

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Exhibit I

MAXIMUM MILLAGE LEVY CALCULATION

PRELIMINARY DISCLOSURE For municipal governments, counties, and special districts

DR-420MM-P R. 5/12


Effective 11/12

Year: County:

Principal Authority : Taxing Authority:

1. (1)Is your taxing authority a municipality or independent special district that has levied ad valorem taxes for less than 5 years? Yes No

IF YES, STOP HERE. SIGN AND SUBMIT. You are not subject to a millage limitation.

2. (2)per $1,000Current year rolled-back rate from Current Year Form DR-420, Line 16

3. Prior year maximum millage rate with a majority vote from 2014 Form DR-420MM, Line 13 per $1,000 (3)

4. (4)per $1,000Prior year operating millage rate from Current Year Form DR-420, Line 10

If Line 4 is equal to or greater than Line 3, skip to Line 11. If less, continue to Line 5.

Adjust rolled-back rate based on prior year majority-vote maximum millage rate

5. (5)Prior year final gross taxable value from Current Year Form DR-420, Line 7 $

6. (6)$Prior year maximum ad valorem proceeds with majority vote (Line 3 multiplied by Line 5 divided by 1,000)

7. (7)$Amount, if any, paid or applied in prior year as a consequence of an obligation measured by a dedicated increment value from Current Year Form DR-420 Line 12

8. (8)Adjusted prior year ad valorem proceeds with majority vote (Line 6 minus Line 7) $

9. Adjusted current year taxable value from Current Year form DR-420 Line 15 $ (9)

10. Adjusted current year rolled-back rate (Line 8 divided by Line 9, multiplied by 1,000) per $1,000 (10)

Calculate maximum millage levy

11. (11)Rolled-back rate to be used for maximum millage levy calculation (Enter Line 10 if adjusted or else enter Line 2) per $1,000

12. Adjustment for change in per capita Florida personal income (See Line 12 Instructions) (12)

13. Majority vote maximum millage rate allowed (Line 11 multiplied by Line 12) (13)per $1,000

14. Two-thirds vote maximum millage rate allowed (Multiply Line 13 by 1.10) per $1,000 (14)

15. Current year proposed millage rate per $1,000 (15)

16. (16)Minimum vote required to levy proposed millage: (Check one)

a. Majority vote of the governing body: Check here if Line 15 is less than or equal to Line 13. The maximum millage rate is equal to the majority vote maximum rate. Enter Line 13 on Line 17.

b. Two-thirds vote of governing body: Check here if Line 15 is less than or equal to Line 14, but greater than Line 13. The maximum millage rate is equal to proposed rate. Enter Line 15 on Line 17.

c. Unanimous vote of the governing body, or 3/4 vote if nine members or more: Check here if Line 15 is greater than Line 14. The maximum millage rate is equal to the proposed rate. Enter Line 15 on Line 17.

d. Referendum: The maximum millage rate is equal to the proposed rate. Enter Line 15 on Line 17.

17. The selection on Line 16 allows a maximum millage rate of (Enter rate indicated by choice on Line 16) (17)per $1,000

18. (18)Current year gross taxable value from Current Year Form DR-420, Line 4 $

Continued on page 2

PALM BEACH

0.7605

139,557,224,761


2015

✔

0

✔

0.6745

114,548,570

0.6677

153,028,244,853

1.0196

0.8208

0.7605


150,630,090,136

0.8529

114,548,570

Print Form

0.7754

0.7754

Reset Form

0.6249

19

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Exhibit I

DR-420MM-P R. 5/12 Page 2

19. Current year proposed taxes (Line 15 multiplied by Line 18, divided by 1,000) (19)$

20. (20)Total taxes levied at the maximum millage rate (Line 17 multiplied by Line 18, divided by 1,000) $

DEPENDENT SPECIAL DISTRICTS AND MSTUs STOP HERE. SIGN AND SUBMIT.

21. Enter the current year proposed taxes of all dependent special districts & MSTUs levying a millage . (The sum of all Lines 19 from each district's Form DR-420MM-P) $ (21)

22. Total current year proposed taxes (Line 19 plus Line 21) (22)$

Total Maximum Taxes

23. (23)Enter the taxes at the maximum millage of all dependent special districts & MSTUs levying a millage (The sum of all Lines 20 from each district's Form DR-420MM-P) $

24. Total taxes at maximum millage rate (Line 20 plus Line 23) (24)$

Total Maximum Versus Total Taxes Levied

25. Are total current year proposed taxes on Line 22 equal to or less than total taxes at the maximum millage rate on Line 24? (Check one) YES NO (25)

S

I

G

N

H

E

R

E

Taxing Authority CertificationI certify the millages and rates are correct to the best of my knowledge. The millages comply with the provisions of s. 200.065 and the provisions of either s. 200.071 or s. 200.081, F.S.

Signature of Chief Administrative Officer : Date :




Complete and submit this form DR-420MM-P, Maximum Millage Levy Calculation-Preliminary Disclosure, to

your property appraiser with the form DR-420, Certification of Taxable Value.


Taxing Authority :

118,658,101


BOYNTON BEACH, FLORIDA 33426


0



0

7/23/2015 2:36 PM


✔

102,176,959

118,658,101

56183519565617407000 ext 2153

102,176,959

BILL COSGROVE, CFO

20

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Exhibit I

CHILDREN'S SERVICES COUNCIL OF PALM BEACH COUNTY

PROPOSED ANNUAL BUDGET

OCTOBER 1, 2015 ‐ SEPTEMBER 30, 2016

2014/15 2015/16 INCREASE %APPROVED

BUDGETPROPOSED

BUDGET(DECREASE) DIFFERENCE

INCREASE (DECREASE)

REVENUES

AD VALOREM TAXES 94,363,181$ 102,176,959$ 7,813,778$ 8.28%GRANT INCOME Palm Beach County Head Start Match 4,100,000 3,100,000 (1,000,000) -24.39% JPB Foundation - 250,000 250,000 100.00% Department of Health/Agency for Health Care Administration 3,053,295 3,630,806 577,511 18.91%

Sub-Total Grant Income 7,153,295 6,980,806 (172,489) -2.41%

INTEREST INCOME 150,000 300,000 150,000 100.00%INCOME FROM TENANTS 70,000 70,000 - 0.00%OTHER INCOME 100,000 100,000 - 0.00%CASH BALANCES BROUGHT FORWARD 20,307,835 14,843,281 (5,464,554) -26.91%

TOTAL 122,144,311$ 124,471,046$ 2,326,735$ 1.90%

EXPENDITURES

CHILDREN'S PROGRAMS Direct Services 98,902,004$ 100,696,792$ 1,794,788$ 1.81% Support Services 9,632,419 9,781,767 149,348 1.55%

Sub-Total Children's Programs 108,534,423 110,478,559 1,944,136 1.79%

ADMINISTRATIVE EXPENSES 5,236,854 5,331,721 94,867 1.81%CAPITAL EXPENDITURES 400,000 250,000 (150,000) -37.50%NON OPERATING EXPENSES Palm Beach County Property Appraiser Fees 786,779 772,645 (14,134) -1.80% Palm Beach County Tax Collector Fees 1,866,864 2,029,274 162,410 8.70%

Sub-Total 2,653,643 2,801,919 148,276 5.59%

CONTINGENCY 500,000 500,000 - 0.00%

SUB-TOTAL EXPENDITURES 117,324,920 119,362,199 2,037,279 1.74%RESERVE FOR UNCOLLECTABLE TAX 4,819,391 5,108,848 289,457 6.01%

TOTAL 122,144,311$ 124,471,046$ 2,326,735$ 1.90%

PROPOSED MILLAGE RATE: 0.6677

8

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Exhibit II




REVENUES

AD VALOREM TAXES 102,176,959$ 83.90% ‐ 0.00% 102,176,959$ 82.09%GRANT INCOME Palm Beach County Head Start Match 3,100,000 2.55% - 0.00% 3,100,000 2.49% JPB Foundation 250,000 0.21% - 0.00% 250,000 0.20% Department of Health/Agency for Health Care Administration 3,630,806 2.98% - 0.00% 3,630,806 2.92%

Sub-Total Grant Income 6,980,806 5.73% - 0.00% 6,980,806 5.61%

INTEREST INCOME 300,000 0.25% - 0.00% 300,000 0.24%INCOME FROM TENANTS 70,000 0.06% - 0.00% 70,000 0.06%OTHER INCOME 100,000 0.08% - 0.00% 100,000 0.08%TRANSFER IN (OUT) (2,682,701) -2.20% 2,682,701 100.00% - 0.00%

CASH BALANCES BROUGHT FORWARD 14,843,281 12.19% - 0.00% 14,843,281 11.93%

TOTAL 121,788,345$ 99.94% 2,682,701$ 100.00% 124,471,046$ 100.00%

EXPENDITURES

CHILDREN'S PROGRAMS

Direct Services

Program Services 95,984,091$ 78.81% 2,682,701$ 100.00% 98,666,792$ 79.27% Special Funds and Other 95,000 0.08% - 0.00% 95,000 0.08% Public Education/Awareness 1,935,000 1.59% - 0.00% 1,935,000 1.55% Sub-total Direct Services 98,014,091 80.48% 2,682,701 100.00% 100,696,792 80.90%

Support Services

Programmatic Support Expenses 9,781,767 8.03% - 0.00% 9,781,767 7.86% Sub-total Support Services 9,781,767 8.03% - 0.00% 9,781,767 7.86%

Sub-Total Children's Programs 107,795,858 88.51% 2,682,701 100.00% 110,478,559 88.76%

ADMINISTRATIVE EXPENSES 5,331,721 4.38% - 0.00% 5,331,721 4.28%CAPITAL EXPENDITURES 250,000 0.21% - 0.00% 250,000 0.20%NON OPERATING EXPENSES Palm Beach County Property Appraiser Fees 772,645 0.63% - 0.00% 772,645 0.62% Palm Beach County Tax Collector Fees 2,029,274 1.67% - 0.00% 2,029,274 1.63%

Sub-Total Non Operating Expenses 2,801,919 2.30% - 0.00% 2,801,919 2.25%CONTINGENCY 500,000 0.41% - 0.00% 500,000 0.40%

SUB-TOTAL EXPENDITURES 116,679,498 95.81% 2,682,701 100.00% 119,362,199 95.90%

RESERVE FOR UNCOLLECTABLE TAX 5,108,848 4.19% - 0.00% 5,108,848 4.10%

TOTAL 121,788,345$ 100.00% 2,682,701$ 100.00% 124,471,046$ 100.00%

MILLAGE RATE: 0.6677

FOR CHILDREN, INC. TOTAL BUDGET

GENERAL FUND SPECIAL REVENUE FUND

PREVENTION PARTNERSHIPS 2015 - 2016

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Exhibit III




Allocations to Children's Programs:

Quality Childcare Programs

Research Specialist 92,086

Technical Assistance Specialists 1,670,381

Tier Payments 870,234

Bridges Liaison 50,000

Total Quality Childcare Programs 2,682,701

Total Allocations to Children's Programs 2,682,701

Total Budget 2,682,701$

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Exhibit III




Executive Talent & Finance Program Communications Information TOTALSExpenses Administration Operations Services Management

SALARIES 386,940 1,021,385 1,142,069 3,776,004 647,423 967,506 7,941,325 ‐

TEMPORARY PERSONNEL ‐ ‐ ‐ 15,000 ‐ ‐ 15,000 ‐

FRINGE BENEFITS ‐ A. FICA 19,196 62,735 67,281 232,358 38,807 58,381 478,758 B. FICA MED 5,611 14,809 16,560 54,752 9,388 14,029 115,149 C. FL Unemployment 5,340 14,095 15,761 52,109 8,934 13,352 109,591 D. Workers' Comp 624 2,704 3,120 11,232 1,664 2,288 21,632 E. Health Plan 90,105 246,007 286,381 1,108,235 193,237 273,302 2,197,266 F. Retirement 52,081 141,037 157,914 436,002 73,458 114,131 974,623 G. Long Term Disability 844 3,659 4,221 15,197 2,251 3,096 29,268 H. Tuition Reimbursement 65,000 ‐ ‐ ‐ ‐ 65,000 J. Retirement Health Savings 3,745 16,227 18,724 67,405 9,986 13,731 129,817 K. Short Term Disability 727 3,148 3,633 13,077 1,937 2,664 25,186 L. Other Fringe Benefits 3,600 15,600 18,000 64,800 9,600 13,200 124,800 Total Fringe Benefits 181,872 585,020 591,595 2,055,167 349,262 508,174 4,271,090

TOTAL PERSONNEL 568,812 1,606,405 1,733,663 5,846,171 996,685 1,475,679 12,227,415

TRAVEL A. Local Mileage 1,500 750 3,200 5,000 2,500 500 13,450 B. Staff Development / CSC Business‐Related Travel 12,000 44,100 28,000 109,580 18,000 20,000 231,680 C. Council Member Travel 3,000 ‐ ‐ ‐ ‐ ‐ 3,000 D. Business Expense 3,000 ‐ ‐ ‐ ‐ ‐ 3,000 TOTAL TRAVEL 19,500 44,850 31,200 114,580 20,500 20,500 251,130

BUILDING SPACE A. Maintenance & Security 11,538 49,999 57,692 207,694 30,769 42,308 400,000 B. Offsite Storage ‐ ‐ ‐ 2,000 ‐ ‐ 2,000 C. Utilities 5,769 25,001 28,846 103,845 15,385 21,154 200,000 D. Emergency Maintenance Fund 1,442 6,250 7,212 25,962 3,846 5,288 50,000 E. Quantum Park Fees and Assessments 346 1,499 1,730 6,234 923 1,269 12,001 F. Real Estate Taxes Quantum Park 1,731 7,501 8,654 31,153 4,615 6,346 60,000 TOTAL BUILDING SPACE 20,826 90,250 104,134 376,888 55,538 76,365 724,001

COMMUNICATIONS A. Telecommunications 1,442 6,252 7,212 25,960 3,846 5,288 50,000 B. Postage ‐ ‐ 17,000 ‐ ‐ ‐ 17,000 2015 Tax Notices ‐ 7,600 ‐ ‐ ‐ 7,600 Total Postage ‐ ‐ 24,600 ‐ ‐ ‐ 24,600 TOTAL COMMUNICATIONS 1,442 6,252 31,812 25,960 3,846 5,288 74,600

PRINTING & SUPPLIES A. Supplies 1,240 5,374 6,201 22,330 3,308 4,548 43,001 B. Meeting Supplies 1,400 5,200 500 5,000 500 400 13,000 C. Computer Supplies ‐ ‐ ‐ ‐ 20,000 20,000 D. Printing 200 500 300 400 100,000 1,600 103,000 E. Photography/Video ‐ ‐ ‐ 50,000 ‐ 50,000

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TOTAL PRINTING & SUPPLIES 2,840 11,074 7,001 27,730 153,808 26,548 229,001

OTHER EXPENSES A. Purchase of Service 1. Legal 43,000 ‐ ‐ ‐ ‐ ‐ 43,000 2. Audit ‐ 60,400 ‐ ‐ ‐ 60,400 3. Consulting 100,000 74,000 ‐ 200,000 25,000 50,000 449,000 4. Inspector General Fee 78,302 78,302 ‐ ‐ ‐ 156,604 B. Insurance 200,000 ‐ ‐ ‐ ‐ ‐ 200,000 C. Staff Development ‐ In House 64,000 ‐ ‐ ‐ ‐ 64,000 D. Dues 130,000 6,800 2,500 5,000 2,000 500 146,800 E. Background Checks/Fingerprinting 2,000 ‐ ‐ ‐ ‐ 2,000 F. Subscrip/Publications 1,000 14,700 1,500 3,000 500 2,000 22,700 G. Public Notices & Employment Ads 12,000 ‐ ‐ ‐ ‐ 12,000 H. Copier Equipment 2,019 8,750 10,096 36,346 5,385 7,404 70,000 I. Computer Maint & Support ‐ ‐ ‐ ‐ 277,336 277,336 J. Planning & Policy Issues 75,000 ‐ ‐ ‐ ‐ ‐ 75,000 K. Banking Services ‐ ‐ 25,000 ‐ ‐ ‐ 25,000 L. Service Awards & Recognition 3,500 ‐ ‐ ‐ ‐ 3,500 TOTAL OTHER EXPENSES 551,019 264,052 177,798 244,346 32,885 337,240 1,607,340 TOTAL ADMINISTRATIVE EXPENSES 1,164,439 2,022,883 2,085,608 6,635,675 1,263,262 1,941,620 15,113,487

CAPITAL EXPENSES A. Furniture & Equipment ‐ 31,250 ‐ ‐ ‐ ‐ 31,250 B. Computer Hardware ‐ ‐ ‐ ‐ ‐ 125,000 125,000 C. Computer Software ‐ ‐ ‐ ‐ ‐ 62,500 62,500 D. Building Improvements ‐ 31,250 ‐ ‐ ‐ ‐ 31,250 TOTAL CAPITAL EXPENSES 62,500 ‐ ‐ ‐ 187,500 250,000

NON OPERATING EXPENSES A. Property Appraiser Fee 772,645 ‐ ‐ ‐ ‐ ‐ 772,645 B. Tax Collector Fee 2,029,274 ‐ ‐ ‐ ‐ ‐ 2,029,274 TOTAL NON‐OPERATING EXPENSES 2,801,919 2,801,919

ALLOCATIONS CHILDREN'S PROGRAMS AND SPECIAL SERVICES

A. Direct Funded Programs and Initiatives ‐ ‐ ‐ 95,984,091 ‐ ‐ 95,984,091 B. Healthy Safe & Strong Fund ‐ ‐ ‐ ‐ 50,000 ‐ 50,000 C. Lobbying/Legislative Issues ‐ ‐ ‐ ‐ 45,000 ‐ 45,000 D. Public Education ‐ ‐ ‐ 575,000 1,360,000 ‐ 1,935,000 TOTAL ALLOCATIONS CHILDREN'S PROGRAMS AND SPECIAL SERVICES ‐ ‐ ‐ 96,559,091 1,455,000 ‐ 98,014,091

CONTINGENCY 500,000 500,000

RESERVE FOR UNCOLLECTABLE TAX 5,108,848 ‐ ‐ ‐ ‐ ‐ 5,108,848

TOTAL BUDGET 9,575,206 2,085,383 2,085,608 103,194,766 2,718,262 2,129,120 121,788,345

Budget: Administrative Expenses 1,164,439 1,847,630 852,862 301,573 543,652 621,565 5,331,721 Budget: Capital Expenses 62,500 ‐ ‐ ‐ 187,500 250,000

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Exhibit IV

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Budget: Children's Program: Direct Services ‐ ‐ 96,559,091 1,455,000 ‐ 98,014,091 Budget: Children's Program: Support Services 175,253 1,232,746 6,334,102 719,610 1,320,055 9,781,767 Budget: Non‐Operating Expenses 8,410,767 ‐ ‐ ‐ ‐ ‐ 8,410,767

TOTAL BUDGET 9,575,206 2,085,383 2,085,608 103,194,766 2,718,262 2,129,120 121,788,345

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Exhibit IV

Children’s Services Council Notes to 2015/16 Fiscal Year Proposed Budget

1. Breakdown of Divisions/Departments The budget is developed reflecting the functional and program operations within CSC. The

functional and program operations as they appear on the detailed budget document are:

A. Executive Administration - reflects the costs associated with the CEO function and

Administration of the Children's Services Council, such as legal fees, insurance, the non-

operating expenses for the Property Appraiser and Tax Collector and organizational

consultants.

B. Talent & Operations - consists of the Operations, Human Resources, Project Management

and Talent Management departments.

C. Finance - Consists of the Accounting, Budget Oversight and Audit departments.

D. Program Services - Reflects the costs associated with the funded programs and initiatives

such as Provider Professional Development, Healthy Beginnings, Quality Early Care and

Education, Bridges, and Initiatives. This d iv is ion a lso ref lects the costs associated

wi th Knowledge Management. In addition to funding from ad-valorem tax revenue there

is financial support for the programs and initiatives. This support comes from the Department of

Health and the Agency for Heal th Care Administrat ion through the Healthy Start

Coalition as well as from the Palm Beach County Head Start Match.

E. Communications- Reflects the costs associated with the Communications department.

F. Information Management- Reflects the costs associated with the Information Management

department.

2. Personnel

The proposed 2015/16 fiscal year budget contains funding for 104 approved positions and a 3%

total merit pool in correlation with staff performance evaluations. .5% is also provided for

promotional opportunities.

Fringe benefits are calculated at existing rates for FICA, Medicare and Florida Unemployment.

Retirement is calculated at 10% of eligible salaries for employees hired on or after January 1,

2012. This percentage is based on the maximum exposure if a match

is made depending on the employee’s contribution. Prior to a hiring date of January 1, 2012,

retirement is calculated at 13% of eligible salaries for employees employed ten years or less,

15% of eligible salaries for employees employed between eleven and fifteen years, 17% for

employees employed between sixteen and twenty years, and 19% for employees employed

twenty years or more.

Workers' Compensation is calculated based on the formula supplied by CSC's insurance broker.

Based on input from CSC's insurance broker and historical trends, health plan premiums have

been projected at 15% over 2014/15 fiscal year rates to maintain coverage at existing levels.

Long Term Disability premiums are projected based on the rate that was provided by the carrier.

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Tuition reimbursements have been estimated based on anticipated usage for the 2015/16 fiscal

year.

Retirement Health Savings reflects the estimated amount needed for this benefit.

Other Fringe Benefits provides for enhancements or additions to the current benefit package

offered by CSC and supports health related items.

3. Travel

The local mileage reimbursement rate is projected at $0.575 per mile based on the Internal

Revenue Service standard mileage rate for 2015. The mileage traveled for each position has

been projected based on historical data.

Staff Development / CSC business-related travel - Staff development reflects the expenses

associated with CSC staff achieving their development plans. CSC business-related travel

reflects the costs associated with CSC staff and Provider agency staff traveling on CSC related

business. An amount has also been budgeted to provide for the costs of staff attendance at

business meetings taking place outside of Palm Beach County.

Council member travel is included to cover the costs relating to travel by Council members on

CSC related business.

4. Building Space

Amounts have been budgeted for Maintenance and Security based on contracts that have been

entered into for those services at the 2300 High Ridge Road building as well as actual

expenditures incurred through the normal operation of the building. An additional $50,000 is

budgeted to provide for emergency repairs not covered under maintenance agreements. The

amount budgeted is allocated by department based on the number of full-time equivalent (FTE)

employees.

Offsite storage costs reflect the expenses related to the storage of historical data at a third party

location.

Utilities are based on projected actual usage and historical data. The amount budgeted is

allocated by department based on the number of full-time equivalent (FTE) employees.

Quantum Park fees cover the costs charged by the Quantum Park Association. The amount

budgeted is allocated by department based on the number of full-time equivalent (FTE)

employees.

5. Communications

Telecommunication expenses are budgeted based on amounts being billed by various vendors

for this item and reflect the costs associated with all telecommunication related expenses. The


employees.

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Exhibit V


Postage includes the costs for routine mailings as well as amounts projected for costs associated

with the mailing of special reports produced by CSC. The amount budgeted is allocated by

department based on the number of full-time equivalent (FTE) employees.

The cost of mailing the 2015 tax notices has been included as an expenditure in conformity with

legislation which requires each taxing authority to reimburse the tax collector for their

proportionate share of postage.

6. Printing & Supplies

The anticipated costs for these items are based on planned expenditures, historical information,

and projected price increases. Supplies includes anything related to office supplies, program

supplies, meeting supplies, training supplies and/or computer supplies.

Printing reflects the projected costs of producing various reports and newsletters. Additional

amounts have been provided to cover projected costs associated with various documents

produced in accordance with the CSC publication plan that has been developed.

Photography/video costs are expenses associated with the communications department and the

public education/awareness of program services.

7. Other Expenses

Legal expenses reflect actual expenses incurred resulting from CSC's various legal issues.

Audit reflects the projected amounts for the annual audit.

Consulting has been budgeted under various divisions as follows:

o Executive Administration – Consultants may be used to provide consulting services

related to public policy issues.

o Talent & Operations - Consultants may be used for leadership and organizational

learning services as well as for administrative services related to the facilities.

o Program Services – Research consultants will be engaged to do research as it relates to

cost benefit analysis and special projects. Consultants may be used for evidence-based

trainings and the variety of other training programs offered by CSC. Consultants are

engaged to provide feedback as to the feasibility of bringing evidence-based programs to

Palm Beach County as well as to assist in the evaluation of initiatives.

o Information - Consultants may be used to assist Information Management in the

maintenance and training of various databases and the equipment necessary to maintain

these programs.

o Communications - Consultants may be used to assist Communications in the use of

language translations.

The following are descriptions of the other items budgeted under the "Other Expenses" cost category:

The Inspector General fee is a charge for the Inspector General to review CSC’s policies and

procedures.

Insurance is made up of expenses related to non-benefit insurance premiums.

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Exhibit V


Staff Development is budgeted to cover the costs associated with training activities designed to

enhance CSC staff knowledge and skills to support funded programs.

Dues reflect the costs of memberships to various organizations to which CSC belongs.

Background checks/fingerprinting are made up of background checks and fingerprinting

expenses related to employees.

Subscriptions & Publications reflect the costs of various "trade" magazines, journals, curriculums,

videos, and books.

Public Notices and Employment Advertising include the cost of required advertising for public

meetings and other CSC activities as well as costs associated with recruitment of CSC staff

positions.

Copier equipment reflects the cost of maintaining and leasing CSC's copier equipment. The


employees.

Computer maintenance and support is provided to cover the costs of support for various software

programs as well as the repair of the system for those items no longer covered by the

manufacturer's warranty period.

Banking services cover the costs of bank and credit card fees.

Service Awards and Recognition cover the costs associated with awards and recognition to

individuals and/or groups for their accomplishments and contributions to the work of the

Children’s Services Council.

8. Capital Expenditures

Capital Expenditures reflect the costs associated with the purchase or upgrade of furniture and

equipment items and the costs of replacing and increasing CSC's information and data processing

technology. The costs associated with these items are summarized as follows:

Furniture & Equipment $31,250

Computer Hardware $125,000

Computer Software $62,500

Building Improvements $31,250

Total $250,000

9. Non-operating expenses

These expenses have been calculated based on the proposed millage rate for the Tax

Collector and the estimated fee provided by the Property Appraiser.

10. Allocations

The total proposed allocation to children's programs and initiatives is approximately $100,696,792.

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Exhibit V


11. Contingencies

An amount totaling $500,000 has been budgeted.

12. Reserve for Uncollectable Tax

A 5% reserve has been established to provide for the projected difference in the amount of tax levied

and the amount actually collected.

13. Ad Valorem Tax

Revenue was calculated based on a projected increase in the total tax base within Palm Beach County

offset by a reduction in the proposed millage rate. The millage rate is being reduced to .6677 for the

2015/16 fiscal year.

14. Grant Income

Grant income is budgeted to reflect grant income from Federal, State and Local dollars through the

Department of Health and Agency of Heal th Care Adminis trat ion through the Healthy Start

Coalition to support CSC's operation of several Healthy Beginnings programs, Palm Beach County to

support the Head Start program and the JPB Foundation to support the evaluation of programs.

15. Other income

Other income reflects miscellaneous revenue.

16. Interest income

Interest income is projected based on current interest rate trends applied to average invested

balances.

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Exhibit V

BUDGET SUMMARYCHILDREN'S SERVICES COUNCIL OF PALM BEACH COUNTY

FISCAL YEAR 2015-2016

THE PROPOSED OPERATING BUDGET EXPENDITURES OF THE CHILDREN'SSERVICES COUNCIL OF PALM BEACH COUNTY ARE 1.9% MORE THAN LASTYEAR'S TOTAL OPERATING EXPENDITURES.

FIXED SPECIALGENERAL ASSET REVENUE TOTAL

FUND FUND FUND BUDGET

Balances Brought Forward from Prior Fiscal Years 14,593,281$ 250,000$ -$ 14,843,281$ ESTIMATED REVENUES

TAXES: Millage per $1000

Ad Valorem .6677 102,176,959 - - 102,176,959

GRANTS: Other Governmental Sources 6,980,806 - - 6,980,806 INTEREST EARNINGS: 300,000 - - 300,000 MISCELLANEOUS REVENUES: Tenant/Other Income 170,000 - - 170,000 Transfers In (Out) (2,682,701) - 2,682,701 - Total Revenues 106,945,064 - 2,682,701 109,627,765

Total Estimated Revenues and Balances 121,538,345$ 250,000$ 2,682,701$ 124,471,046$

EXPENDITURES/EXPENSES

Children's Programs Direct Services 98,014,091$ -$ 2,682,701$ 100,696,792$ Support Services 9,781,767 - - 9,781,767 Sub-total Children's Programs 107,795,858 - 2,682,701 110,478,559 Administrative Expenses 5,331,720 - - 5,331,720 Capital Expenditures 250,000 - 250,000 Allocation to Contingency Fund 500,000 - - 500,000 Non-operating Expenses 2,801,919 - - 2,801,919 Total Expenditures 116,429,497 250,000 2,682,701 119,362,198 Reserves 5,108,848 - - 5,108,848

Total Appropriated Expenditures and Reserves 121,538,345$ 250,000$ 2,682,701$ 124,471,046$

THE TENTATIVE, ADOPTED, AND/OR FINAL BUDGETS ARE ON FILE IN THE OFFICEOF THE ABOVE MENTIONED TAXING AUTHORITY AS A PUBLIC RECORD.

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Exhibit VI

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The Children's Services Council of Palm Beach County has tentatively adopted a

Last year's property tax levy:A. Initially proposed tax levy $94,363,181B. Less tax reductions due to Value Adjustment Board $231,833 and other assessment changesC. Actual property tax levy $94,131,348

This year's proposed tax levy: $102,176,959

held on:

A FINAL DECISION on the proposed tax increase and the budget will be made at this hearing.

at2300 High Ridge Road

Boynton Beach, FL 33426

NOTICE OF PROPOSED TAX INCREASE

All concerned citizens are invited to attend a public hearing on the tax increase to be

measure to increase its property tax levy.

Thursday, September 24, 20156:00 P.M.

Exhibit VI

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DM #173412

Children’s Services Council

Finance Committee Meeting Monday, August 24, 2015

11:30 am – 12:30 pm

CSC – Executive Conference Room

AGENDA

Welcome and Introductions

Finance Committee Members: Tom Lynch, CSC Finance Committee Chair Thomas Bean, CSC Finance Committee Vice‐Chair Greg Langowski, Chair Children’s Services Council Tom Weber, Vice‐Chair Children’s Services Council Paul Dumar, Director of Financial Services, Solid Waste Authority John Marino, Volunteer, Finance Committee CSC Staff: Lisa Williams‐Taylor PhD, CEO Bill Cosgrove, CFO Jen Diehl, Controller Tom Sheehan, General Counsel Elsa Sanchez, Senior Executive Assistant

Agenda Items:

1 Minutes August 6, 2015 Finance Committee Meeting

2 July 31, 2015 Financial Statements and Expenses by Program

3 Proposed 14‐15 CSC General Fund Budget Revision

4 TRIM Package

5 Other

Next Meeting: September 24th ‐ 4:00 ‐ 4:15

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DM 172363

Children’s Services Council

Finance Committee Meeting Thursday, August 6, 2015

4:00 – 4:30 pm

CSC – Executive Conference Room

MINUTES

Welcome and Introductions

Finance Committee Members: Tom Lynch, CSC Finance Committee Chair, Present Thomas Bean, CSC Finance Committee Vice‐Chair, Present Greg Langowski, Chair Children’s Services Council, Present Tom Weber, Vice‐Chair Children’s Services Council, Present Paul Dumar, Director of Financial Services, Solid Waste Authority, Present via Telephone John Marino, Volunteer, Finance Committee, Present via Telephone CSC Staff: Lisa Williams‐Taylor PhD, CEO Bill Cosgrove, CFO Jen Diehl, Controller Tom Sheehan, General Counsel Elsa Sanchez, Senior Executive Assistant

Agenda Items:

1 Minutes June 25, 2015 Finance Committee Meeting, Approved Unanimously

2 June 30, 2015 Financial Statements, Approved Unanimously

3 Investment Strategy Update – Request to Establish New Banking Relationships and Modify

Existing Relationship, Discussed change in Banking Representative; discussed reasonableness of

third party custody account, Approved Unanimously

4 Proposed 14‐15 PPC Budget Revision, Approved Unanimously

5 Other

6 Adjournment

Next Meeting: August 27th 4:00‐5:00

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AGENDA ITEM: 2 TITLE: Financial Statements and Expenses by Program – July 31, 2015 (Unaudited) STAFF: Jennifer Diehl, Controller, Children’s Services Council of Palm Beach

County

SUMMARY:

The financial statements are presented reflecting the estimated operating results of the General Fund and Special Revenue Fund (Prevention Partnerships for Children, Inc.) for the ten months ended July 31, 2015. The audit of the Council for the fiscal year ended September 30, 2014 has been completed and the applicable figures represent audited numbers.

Balance Sheet:

As of July 31, 2015 the Council had $73,022,098 held in cash and investments. Of this balance, the investments in federal government bonds total $39,000,000 net of the amortized discount. The Capital Assets and the Investment in Capital Assets for $20,832,932 represent the costs associated with furniture and fixtures, equipment, and building costs. Statement of Revenue and Expenses: The budgeted expenditure rate at July 31, 2015 is 83.33%. The estimated expenditure rate for Children’s Programs at July 31, 2015 is 75.61%. RECOMMENDATION:

I recommend the Finance Committee propose that the Council accept the July 31, 2015 Financial Statements as submitted.

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BALANCE SHEET (Unaudited)

July 31, 2015

General Fund Total All Funds

Assets

Cash & Investments 73,009,033$ 13,065$ 73,022,098$ Accounts Receivable 1,085,946 - 1,085,946 Advances to Agencies 3,934,354 - 3,934,354 Prepaid Expenses 318,585 - 318,585 Due From - General Fund - 456,148 456,148 Capital Assets 20,832,932 - 20,832,932

Total Assets 99,180,850 469,213 99,650,063

Liabilities & Fund Balance

Liabilities

Allocations to Children's Services Programs 7,346,675 461,613 7,808,288 Deferred Revenue 820,198 - 820,198 Accounts Payable 257,402 7,600 265,002 Due to - Special Revenue Fund 456,148 - 456,148 Total Liabilities 8,880,423 469,213 9,349,636

Fund Balance

Nonspendable: Prepaid Expenses 318,585 - 318,585 Assigned: Reserved in accordance with fund balance policy 36,058,774 - 36,058,774 Unassigned: 33,090,136 - 33,090,136

Total Fund Balance 69,467,495 - 69,467,495

Investment in Capital Assets 20,832,932 - 20,832,932

Total Liabilities and Fund Balance 99,180,850$ 469,213$ 99,650,063$

Special Revenue Fund

Prevention Partnership for Children, Inc.

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CHILDREN'S SERVICES COUNCIL OF PALM BEACH COUNTYSTATEMENT OF REVENUE AND EXPENSES CHANGES IN FUND BALANCE

FOR THE TEN MONTHS ENDED JULY 31, 2015

Approved Budget Actual Approved Budget Actual Approved Budget Actual

2014/2015 Through Through Variance % 2014/2015 Through Through Variance % 2014/2015 Through Through Variance %

Budget 7/31/2015 7/31/2015 YTD YTD Budget 7/31/2015 7/31/2015 YTD YTD Budget 7/31/2015 7/31/2015 YTD YTD

Revenues

Ad Valorem Property Taxes 94,363,181$ 90,602,389$ 90,602,389$ -$ 96.01% -$ -$ -$ -$ 0.00% 94,363,181$ 90,602,389$ 90,602,389$ -$ 96.01%Interest Income 150,000 125,000 149,628 24,628 99.75% - - - - 0.00% 150,000 125,000 149,628 24,628 99.75%Department of Health/Agency for Health Care Administration 3,053,295 2,544,413 2,848,230 303,818 93.28% - - - - 0.00% 3,053,295 2,544,413 2,848,230 303,818 93.28%Palm Beach County Head Start Match 4,100,000 3,416,667 3,416,667 - 83.33% - - - - 0.00% 4,100,000 3,416,667 3,416,667 - 83.33%Income from Tenants 70,000 58,333 62,323 3,990 89.03% - - - - 0.00% 70,000 58,333 62,323 3,990 89.03%Other Income 100,000 83,333 174,421 91,088 174.42% - - - - 0.00% 100,000 83,333 174,421 91,088 174.42%Cash Carryforward 20,307,835 - - - 0.00% - - - - 0.00% 20,307,835 - - - 0.00%

Total Revenues 122,144,311 96,830,135 97,253,658 423,523 79.62% - - - - 0.00% 122,144,311 96,830,135 97,253,658 423,523 79.62%

Expenditures

Administrative Expenditures 5,236,854 4,364,045 3,821,489 542,556 72.97% - - 1,081 (1,081) 100.00% 5,236,854 4,364,045 3,822,570 541,475 72.99%Capital Expenditures 400,000 333,333 53,835 279,498 13.46% - - - - 0.00% 400,000 333,333 53,835 279,498 13.46%Contingency 500,000 - - - 0.00% - - - - 0.00% 500,000 - - - 0.00%Non-Operating Expenses 2,653,643 2,565,333 2,565,333 - 96.67% - - - - 0.00% 2,653,643 2,565,333 2,565,333 - 96.67%Reserve for Uncollectible Taxes 4,819,391 - - - 0.00% - - - - 0.00% 4,819,391 - - - 0.00%

Children's Services Programs:Direct Services:

Funded Programs & Initiatives 96,953,606 80,794,672 73,082,068 7,712,604 75.38% 1,948,398 1,623,665 1,758,424 (134,759) 90.25% 98,902,004 82,418,337 74,840,492 7,577,845 75.67%Support Services:

Programmatic Support 9,632,419 8,027,016 7,225,963 801,052 75.02% - - - - 0.00% 9,632,419 8,027,016 7,225,963 801,052 75.02%

Total Children's Programs 106,586,025 88,821,688 80,308,031 8,513,656 75.35% 1,948,398 1,623,665 1,758,424 (134,759) 90.25% 108,534,423 90,445,353 82,066,455 8,378,897 75.61%Total Expenses 120,195,913 96,084,399 86,748,688 9,335,711 72.17% 1,948,398 1,623,665 1,759,505 (135,840) 90.31% 122,144,311 97,708,064 88,508,193 9,199,871 72.46%

Excess Revenues over Expenses 10,504,970 (1,759,505) 8,745,465

Other Financing Sources (Uses)

Transfers in (out) (1,948,398) (1,623,665) (1,759,505) 135,840 90.31% 1,948,398 1,623,665 1,759,505 (135,840) 90.31% - - - - 0.00%

Net Changes in Fund Balances 8,745,465 - 8,745,465

Fund Balances

October 1, 2014 60,722,030 - 60,722,030 July 31, 2015 69,467,495$ -$ 69,467,495$

General Fund Special Revenue Fund Total

Prevention Partnership for Children, Inc.

5

CSC

Budget by Program as of 7/31/2015

Fiscal Year 14‐15 Fiscal Year 14‐15 Fiscal Year 14‐15 Fiscal Year 14‐15

Program Name Budget Amt Expended Amt Amount Remaining % Expended

211‐Special Needs Helpline 9,540$ 9,540$ ‐$ 100.00%

ARC‐First Step to Success 1,574,412 1,334,771 239,641 84.78%

ARC‐Healthy Steps for Young Children 813,654 648,705 164,949 79.73%

BCC‐Drowning Prevention 50,000 41,271 8,729 82.54%

BIG‐Environmental Rating Scale 91,000 ‐ 91,000 0.00%

BUS‐QIS System Evaluation 35,000 ‐ 35,000 0.00%

CAI‐Aquarius 25,000 21,000 4,000 84.00%

CAI‐Healthy Beginnings Data Systems 600,000 411,057 188,943 68.51%

CCC‐Child First 330,591 87,000 243,591 26.32%

CFI‐Quality Program Assessment 585,722 400,371 185,351 68.36%

CFI‐Training Registry 155,000 107,972 47,028 69.66%

CFS‐Counseling for Parents & Young Children 250,000 33,398 216,602 13.36%

CFS‐Prenatal Plus Mental Health Services 312,847 179,522 133,325 57.38%

CFS‐Teen Triple P 103,333 38,674 64,659 37.43%

CFS‐Triple P (Positive Parenting Program) 157,643 127,790 29,853 81.06%

CHS‐CHS BRIDGES 2,446,375 1,807,604 638,771 73.89%

CHS‐Wyman's Teen Outreach Program (TOP) 200,557 176,107 24,450 87.81%

COM‐Program Education 1,935,000 1,273,530 661,470 65.82%

DCF‐Access Positions 79,371 66,142 13,229 83.33%

DCH‐Dental Services for Women & Children 10,000 ‐ 10,000 0.00%

DOH‐Dental Services Pregnant Women 45,000 35,640 9,360 79.20%

DOH‐Healthy Beginnings Data Entry 501,780 392,559 109,221 78.23%

DOH‐Healthy Beginnings Nurses 2,906,959 2,213,725 693,234 76.15%

DOH‐Nurse Family Partnership 1,601,952 1,159,496 442,456 72.38%

DOH‐WHIN Nurses 497,008 332,706 164,302 66.94%

EDU‐Education Commission 12,500 12,500 ‐ 100.00%

ELC‐CSC Scholarship Initiative 30,647,629 25,621,899 5,025,730 83.60%

ESF‐Early Steps 1,799,697 1,499,748 299,949 83.33%

ETR‐Emerging Tier Reimbursement Payments 352,950 ‐ 352,950 0.00%

FCI‐FCCH Technical Assistance/Personnel Enhancements 332,807 271,049 61,758 81.44%

FCI‐QEP Payments 710,452 710,452 ‐ 100.00%

FCS‐Summer Camp Scholarships 1,578,440 1,263,440 315,000 80.04%

FFB‐Primary Project 580,668 488,782 91,886 84.18%

FFP‐Child First 319,914 44,589 275,325 13.94%

FFP‐Healthy Families 1,333,336 1,141,504 191,832 85.61%

FLC‐MOTT AfterSchool Network Match (FAN) 10,000 10,000 ‐ 100.00%

FRL‐Access to Success (Glades) 82,274 68,839 13,435 83.67%

HCS‐Fetal and Infant Mortality Review 130,692 86,104 44,588 65.88%

HCS‐PBC Counts 50,000 10,000 40,000 20.00%

HMH‐Entry Agency 2,909,781 2,274,110 635,671 78.15%

HMH‐Healthy Beginnings Centering Program 408,504 256,470 152,034 62.78%

HMH‐Mom Care 483,039 386,993 96,046 80.12%

HPI‐HP BRIDGES 3,111,959 2,403,851 708,108 77.25%

HPI‐Support of Safe Kids Coalition of Palm Beach County 236,203 187,759 48,444 79.49%

HPI‐Wyman's Teen Outreach Program (TOP) 359,897 273,913 85,984 76.11%

HSI‐Growing Smart 384,353 276,888 107,465 72.04%

HSI‐Healthy Beginnings: Entry Agency (Birth ‐ 5) 2,455,281 1,873,583 581,698 76.31%

ICF‐Child First 272,659 772 271,887 0.28%

IMD‐Data Warehouse‐Application Development 75,000 ‐ 75,000 0.00%

IMD‐Issue Trak 4,800 4,000 800 83.33%

IMD‐SAMIS Collaboration 58,105 58,105 ‐ 100.00%

IMD‐Server Hosting 40,000 36,250 3,750 90.63%

IMD‐The Inventory Replacement Initiative 250,000 88,522 161,478 35.41%

JGC‐Healthy Beginnings: Mental Health Services 275,000 238,931 36,069 86.88%

KAI‐Metrics That Matter 20,000 ‐ 20,000 0.00%

LAS‐Juvenile and Foster Children's Project 2,475,307 2,201,594 273,713 88.94%

6

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LAS‐Relative Caregiver Project 99,642 82,053 17,589 82.35%

LIT‐Budding Readers 372,742 281,239 91,503 75.45%

LIT‐Early Literacy Book Distribution Program 132,403 91,353 41,050 69.00%

LIT‐Glades Family Education 62,000 50,783 11,217 81.91%

LIT‐Parent Child Home Program Oversight 1,954,952 1,556,387 398,565 79.61%

LIT‐Reach Out and Read Program 191,763 143,771 47,992 74.97%

LUT‐Head Start Program 5,100,000 4,080,000 1,020,000 80.00%

LUT‐Match Funding 227,164 171,561 55,603 75.52%

MET‐Client Engagement and Attrition Study 8,500 ‐ 8,500 0.00%

MET‐Home Visitation Strategy 141,614 57,365 84,249 40.51%

NFP‐Sponsorship Agreement 2,650 ‐ 2,650 0.00%

NLI‐Prenatal Plus Nutrition Services 150,000 100,504 49,496 67.00%

NPF‐Agency Certification and Management Services 1,197,319 825,456 371,863 68.94%

OPS‐Other Program Services 674,690 ‐ 674,690 0.00%

PBF‐Drowning Prevention Swim Vouchers 75,000 ‐ 75,000 0.00%

PBS‐Professional Development System 1,977,743 1,675,465 302,278 84.72%

PBS‐SEEK Scholarships 1,175,300 1,055,185 120,115 89.78%

PCC‐Healthy Beginnings: Mental Health Services 100,000 87,967 12,033 87.97%

PCC‐Teen Triple P 91,265 33,332 57,933 36.52%

PCC‐Triple P 970,192 748,247 221,945 77.12%

PER‐Child First 101,836 ‐ 101,836 0.00%

PER‐Early Child Learning & Innovation Network 225,000 126,320 98,680 56.14%

PER‐Gold Pilot 450,000 216,298 233,702 48.07%

PER‐Help Me Grow 53,938 53,938 ‐ 100.00%

PER‐Palm Beach County Circle Campaign 61,238 61,238 ‐ 100.00%

PER‐RFP Light Developmental Services 50,000 ‐ 50,000 0.00%

PER‐RFP Mental Health Services 30,000 ‐ 30,000 0.00%

PER‐Special Projects 749,493 45,000 704,493 6.00%

PER‐Youth Symposium Followup 150,000 64 149,936 0.04%

PFB‐Palm Beach County Food Bank 225,000 225,000 ‐ 100.00%

PPD‐Child First Training 300,000 118 299,882 0.04%

PPD‐Incredible Years 400,000 107,060 292,940 26.77%

PPD‐Senior Exec Policy Institute 30,000 ‐ 30,000 0.00%

PPD‐Systems Training & Materials 400,000 128,877 271,123 32.22%

PPD‐Triple P 160,000 91,401 68,599 57.13%

PTP‐Afterschool Program Development 2,534,474 2,062,434 472,040 81.38%

PTP‐Enhancements 2,102,114 1,615,015 487,099 76.83%

RCM‐Match Funding 35,192 28,303 6,889 80.42%

RDI‐Resource Depot 100,000 86,829 13,171 86.83%

SIC‐Community Voice 607,332 476,654 130,678 78.48%

SSI‐ETO 40,000 14,990 25,010 37.48%

SWY‐SWYC 150,000 42,000 108,000 28.00%

SYS‐Frontiers of Innovation 73,100 23,323 49,777 31.91%

SYT‐Registry Management 110,000 300 109,700 0.27%

TOM‐Transportation Consultant 246,800 166,882 79,918 67.62%

TRI‐SAMIS Enhancements 20,000 2,219 17,781 11.10%

URB‐Wyman's Teen Outreach Program (TOP) 306,890 230,484 76,406 75.10%

UWP‐211 of Palm Beach/Treasure Coast 116,422 116,422 ‐ 100.00%

UWP‐Common Eligibility 50,000 1,658 48,342 3.32%

UWP‐Continuous Improvement Initiative 200,000 200,000 ‐ 100.00%

UWP‐Legal Aid Society Non Profit Legal Assistance 50,000 50,000 ‐ 100.00%

UWP‐Mentoring Initiative 995,889 995,889 ‐ 100.00%

UWP‐Special Needs Initiative 976,971 956,971 20,000 97.95%

VAR‐Tier 1 Payments 2,977,987 1,173,608 1,804,379 39.41%

WEL‐Welligent 7.0 15,000 12,000 3,000 80.00%

WLS‐Aplication Lic., Maintenance & Development 75,000 40,878 34,122 54.50%

Total $96,953,606 73,082,068$ $23,871,538 75.38%

7

AGENDA ITEM: 3 TITLE: Proposed 2014-2015 CSC General Fund Budget Revision STAFF: Jennifer Diehl, Controller SUMMARY: The proposed CSC General Fund Budget Revision to the 2014-2015 budget is submitted to the Finance Committee. The budget revision compares the originally approved budget to the proposed revision. Revenues The General Fund transfers out are being increased by $330,000 due to the $330,000 in additional dollars added to the PPC budgeted revenues for the Tiered Reimbursement Supplements approved by the Council August 6, 2015. The offset of this $330,000 is being adjusted in the Direct Services expenditures for the payment to PPC. Expenditures As mentioned previously, program services are being decreased by $330,000 for the payment of Tiered Reimbursement Supplements to PPC. An increase in Personnel expenditures of $25,586 is being proposed to accommodate for higher than expected tuition reimbursement and short term disability costs. An increase in Building Space of $1,603 is being proposed to accommodate for higher property owners’ association assessments. An increase in Printing & Supplies of $14,106 is being proposed to accommodate for higher than expected meeting supplies and computer supplies. An increase in Other expenses of $9,766 is being proposed to accommodate for more employment advertisements and additional banking service charges. In order to offset these increase in expenditures totaling $51,061, the under expended consulting line item has been decreased by this same amount. RECOMMENDATION:

We recommend the Finance Committee propose that the Council approve the proposed 2014-2015 CSC Budget Revision as submitted.

8

CHILDREN'S SERVICES COUNCIL OF PALM BEACH COUNTYPROPOSED BUDGET REVISION

OCTOBER 1, 2014 - SEPTEMBER 30, 2015GENERAL FUND

APPROVED PROPOSEDBUDGET REVISED INCREASE/

GENERAL FUND BUDGET (DECREASE)GENERAL FUND

EXPENDITURES

PROGRAMMATIC SUPPORT AND ADMINISTRATIVE EXPENDITURESSalaries 7,758,468$ 7,758,468$ -$ Temporary Personnel 15,000 15,000 -

FICA/FICA Med 578,190 578,190 - Florida Unemployment 147,411 147,411 - Worker's Compensation 24,051 24,051 - Health Plan 1,817,405 1,817,405 - Retirement 1,036,440 1,036,440 - Long Term Disability 30,001 30,001 - Tuition Reimbursement 40,000 65,015 25,015 Deferred Compensation 23,000 23,000 - Retirement Health Savings 128,100 128,100 - Short Term Disability 24,001 24,572 571 Other Fringe Benefits 122,400 122,400 - Sub-Total Personnel 11,744,467 11,770,053 25,586

Travel In-Area 12,600 12,600 - Conference/Staff Develop 215,800 215,800 -

Council Member Travel 3,000 3,000 - Business Expense 3,000 3,000 - Sub-Total Travel 234,400 234,400 -

Maintenance & Security 450,000 450,000 - Offsite Storage 2,000 2,000 - Utilities 200,002 200,002 - Quantum Park Taxes, Fees and Assessments 67,499 69,102 1,603

Sub-Total Building Space 719,501 721,104 1,603

Telephone 70,001 70,001 - Postage 24,600 24,600 - Sub-Total Communications 94,601 94,601 -

Printing 102,400 102,400 - Meeting Supplies 13,000 15,629 2,629 Computer Supplies 10,000 21,477 11,477 Photography/Video 50,000 50,000 - Supplies 43,000 43,000 - Sub-Total Printing & Supplies 218,400 232,506 14,106

Audit & Legal 108,000 108,000 - Consulting 515,000 463,939 (51,061) Insurance 200,000 200,000 - Inspector General Fee 156,604 156,604 - Staff Development In-House 67,500 67,500 - Subscriptions & Publications 22,000 22,000 - Dues 168,800 168,800 - Background Checks 3,500 3,500 - Public Notices & Employ Ads 15,000 24,071 9,071 Banking Services 3,000 3,695 695 Rewards & Recognition 3,500 3,500 -

9



APPROVED PROPOSEDBUDGET REVISED INCREASE/

GENERAL FUND BUDGET (DECREASE)GENERAL FUND

Computer Maint & Support 450,000 450,000 - Planning & Policy Issues 75,000 75,000 - Copier Equipment 70,000 70,000 - Sub-Total Other 1,857,904 1,816,609 (41,295) TOTAL PROGRAMMATIC SUPPORT AND ADMINISTRATIVE EXPENDITURES 14,869,273$ 14,869,273$ -$

NON-OPERATING EXPENDITURESPBC Tax Collector Fee 1,866,864$ 1,866,864$ -$ Property Appraiser Fee 786,779$ 786,779$ -$ Sub-total Non-Operating 2,653,643 2,653,643 -

CAPITAL EXPENDITURES 400,000 400,000 -

CONTINGENCY 500,000 500,000 -

RESERVE FOR UNCOLLECTABLES 4,819,391 4,819,391 -

DIRECT FUNDED PROGRAMS & INITIATIVES 94,923,606 94,593,606 (330,000)

OTHER PROGRAM EXPENDITURES Special Funds and Other 95,000 95,000 - Public Education 1,935,000 1,935,000 - Sub-total Direct Other Program Expenditures 2,030,000 2,030,000 -

TOTAL EXPENDITURES 120,195,913$ 119,865,913$ (330,000)$

10



2014/2015 2014/2015

GENERAL FUND GENERAL FUND

Revenues BUDGET BUDGET

AD VALOREM TAXES 94,363,181$ 94,363,181$ -$ -$ GRANT INCOME Department of Health 3,053,295 3,053,295 - 0.00% Palm Beach County Head Start Match 4,100,000 4,100,000 - 100.00%

Sub-Total Grant Income 7,153,295 7,153,295 - 0.00%

INCOME FROM TENANTS 70,000 70,000 - 100.00%INTEREST INCOME 150,000 150,000 - 0.00%OTHER INCOME 100,000 100,000 - 0.00%TRANSFER IN (OUT) (1,948,398) (2,278,398) (330,000) 16.94%CASH BALANCES BROUGHT FORWARD 20,307,835 20,307,835 - 0.00%

Total Revenues 120,195,913 119,865,913 (330,000) -0.27%

Expenditures

CHILDREN'S PROGRAMS Direct Services Program Services 94,923,606$ 94,593,606$ (330,000)$ -0.35% Special Funds and Other 95,000 95,000 - 0.00% Public Education 1,935,000 1,935,000 - 0.00%

Sub-total Direct Services 96,953,606 96,623,606 (330,000) -0.34% Support Services Programmatic Support Expenses 9,632,419 9,632,419 - 0.00%

Sub-total Support Services 9,632,419 9,632,419 - 0.00%

Sub-total Children's Programs 106,586,025 106,256,025 (330,000) -0.31%ADMINISTRATIVE EXPENDITURES 5,236,854 5,236,854 - 0.00%CAPITAL EXPENDITURES 400,000 400,000 - 0.00%NON OPERATING EXPENDITURES Palm Beach County Property Appraiser Fees 786,779 786,779 - 0.00% Palm Beach County Tax Collector Fees 1,866,864 1,866,864 - 0.00%

Sub-Total 2,653,643 2,653,643 - 0.00%CONTINGENCY 500,000 500,000 - 0.00%

SUB-TOTAL EXPENDITURES 115,376,522 115,046,522 (330,000) -0.29%RESERVE FOR UNCOLLECTABLE TAX 4,819,391 4,819,391 - 0.00%TOTAL 120,195,913 119,865,913 (330,000) -0.27%

% INCREASE

(DECREASE)

ORIGINAL PROPOSED

REVISED

INCREASE

(DECREASE)

DIFFERENCE

11

CHILDREN’S SERVICES COUNCIL – FINANCE COMMITTEE AGENDA ITEM August 24, 2015

AGENDA ITEM:

TITLE: Proposed 2015/2016 Annual Budget

CSC STAFF: Bill Cosgrove, Chief Financial Officer Jennifer Diehl, Controller

SUMMARY:

In addition to the notes to the budget, this budget incorporates the goals, strategies and outcomes that were presented at the Annual Council Planning Session on April 23, 2015. Since the Finance Committee met in June, the total budget amount has not changed. Ad valorem tax revenue to support the proposed budget amounts to $102,176,959 which is based on the 9.6% increase in the total tax base within Palm Beach County offset by a reduction in the proposed millage rate. The proposed millage rate will be reduced to .6677.

The proposed 2015‐2016 CSC Annual Budget is submitted reflecting the budget of the Children’s Services Council including its special revenue fund, which is also known as Prevention Partnerships for Children, Inc. The total proposed expenditures are $124,471,046. Of the total proposed $124,471,046, Children’s Programs Direct Services are budgeted for $100,696,792 or 80.90% and Program Administrative Support is budgeted for $9,781,767 or 7.86% for a combined total of $110,478,559 or 88.76% of the total budget. The Children’s Programs Direct Services budget reflects a 1.81% or $1,794,788 increase from 2014/2015. This increase is attributed to additional services for the children including a complete first year of the new Child First program, the redesigned Strong Minds system as well as the expansion of other existing programs. The Program Administrative Support budget reflects a 1.55% or $149,348 increase which relates to an annually evaluated and revised general and administrative allocation and increased costs related to support personnel such as merit increases and health insurance. The budget being proposed contains a projected 15% increase over the 2014/2015 health insurance premiums, a 3% total merit pool in correlation with staff performance evaluations and .5% total pool in relation to promotional increases. The proposed budget for the administrative costs of the Council is $5,331,721, representing a 1.81% or $94,867 increase over the 2014/2015 budget. This increase reflects the annually evaluated and revised general and administrative allocation as well as personnel increases mentioned previously. The proposed budget for capital expenses is $250,000, representing a decrease from the prior year.

12

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/TRIM Packet

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4

RECOMMENDATION: The Finance Committee and Council approve the proposed 2015/2016 Annual Budget.

13

TRIM PUBLIC HEARING September 10, 2015 – 6:00 p.m.

14


TRIM PUBLIC HEARING, SEPTEMBER 10, 2015

COVER PAGES Agenda & Synopsis of Exhibits

EXHIBIT I Certification of Taxable Value/Independent Special District

Maximum Millage Levy Calculation Preliminary Disclosure ______________________________________________________________________________ EXHIBIT II Comparison of Proposed 2015‐2016 Budget to Approved

2014‐2015 Annual Budget ______________________________________________________________________________ EXHIBIT III Proposed 2015‐2016 Annual Budget by Fund ______________________________________________________________________________ EXHIBIT IV Proposed 2015‐2016 Annual Budget by Department

(General Fund) ______________________________________________________________________________ EXHIBIT V Notes ______________________________________________________________________________ EXHIBIT VI Proposed TRIM Advertisement

15


TRIM PUBLIC HEARING

September 10, 2015, 6:00 p.m.

2300 High Ridge Road, Boynton Beach, FL

AGENDA 1. CALL TO ORDER 2. AGENDA A. Additions, deletions, substitutions B. Adoption 3. 2015‐16 TENTATIVE BUDGET A. Percent increase above roll‐back rate 6.85% B. Presentation C. Public Comment D. Review 4. 2015‐16 TENTATIVE MILLAGE RATE ‐ .6677 A. Review B. Public Comment C. Tentative Adoption 5. TENTATIVE ADOPTION OF 2015‐16 BUDGET A. Tentative adoption of 2015‐16 budget 6. ANNOUNCEMENT OF FINAL TRIM HEARING – SEPTEMBER 24, 2015 – 6:00 P.M. 7. PERCENT BY WHICH PROPOSED MILLAGE RATE IS MORE THAN THE ROLL‐BACK RATE –

6.85% 8. ADJOURNMENT

16

CERTIFICATION OF TAXABLE VALUEDR-420 R. 5/12


Effective 11/12

Year : County :

Principal Authority : Taxing Authority :

SECTION I : COMPLETED BY PROPERTY APPRAISER

1. Current year taxable value of real property for operating purposes $ (1)

2. Current year taxable value of personal property for operating purposes $ (2)

3. (3)Current year taxable value of centrally assessed property for operating purposes $

4. (4)Current year gross taxable value for operating purposes (Line 1 plus Line 2 plus Line 3) $

5. (5)Current year net new taxable value (Add new construction, additions, rehabilitative improvements increasing assessed value by at least 100%, annexations, and tangible personal property value over 115% of the previous year's value. Subtract deletions.)

$

6. (6)Current year adjusted taxable value (Line 4 minus Line 5) $

7. (7)$Prior year FINAL gross taxable value from prior year applicable Form DR-403 series

8. (8)Does the taxing authority include tax increment financing areas? If yes, enter number of worksheets (DR-420TIF) attached. If none, enter 0

Number

9. (9)NumberDoes the taxing authority levy a voted debt service millage or a millage voted for 2

years or less under s. 9(b), Article VII, State Constitution? If yes, enter the number of DR-420DEBT, Certification of Voted Debt Millage forms attached. If none, enter 0

SIGN

HERE

Property Appraiser Certification I certify the taxable values above are correct to the best of my knowledge.

Date :

SECTION II : COMPLETED BY TAXING AUTHORITY

If this portion of the form is not completed in FULL your taxing authority will be denied TRIM certification and possibly lose its millage levy privilege for the tax year. If any line is not applicable, enter -0-.

10. Prior year operating millage levy (If prior year millage was adjusted then use adjusted millage from Form DR-422) (10)per $1,000

11. (11)Prior year ad valorem proceeds (Line 7 multiplied by Line 10, divided by 1,000) $

12. (12)$Amount, if any, paid or applied in prior year as a consequence of an obligation measured by a dedicated increment value (Sum of either Lines 6c or Line 7a for all DR-420TIF forms)

13.

14.

(13)

(14)

Adjusted prior year ad valorem proceeds (Line 11 minus Line 12) $

$Dedicated increment value, if any (Sum of either Line 6b or Line 7e for all DR-420TIF forms)

15. (15)$Adjusted current year taxable value (Line 6 minus Line 14)

16. Current year rolled-back rate (Line 13 divided by Line 15, multiplied by 1,000) per $1000 (16)

17. (17)per $1000Current year proposed operating millage rate

18. (18)

$

Total taxes to be levied at proposed millage rate (Line 17 multiplied by Line 4, divided by 1,000)

Continued on page 2

YES NO

YES NO

Signature of Property Appraiser:

PALM BEACH

94,131,348

102,176,959

150,630,090,136

✔

0.6745

132,154,920

2,398,154,717

2015

Print Form

0.6249

Electronically Certified by Property Appraiser


6/25/2015 8:18 AM

0

0

143,520,975,114

139,557,224,761

150,630,090,136


0

94,131,348

✔

9,375,114,819

0.6677

153,028,244,853

0

Reset Form

17

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Exhibit I

DR-420 R. 5/12 Page 2

19. TYPE of principal authority (check one)County Independent Special District

(19)Municipality Water Management District

(20)20.Applicable taxing authority (check one) Principal Authority Dependent Special District

MSTU Water Management District Basin

21. (21)Is millage levied in more than one county? (check one) Yes No

DEPENDENT SPECIAL DISTRICTS AND MSTUs STOP HERE - SIGN AND SUBMIT

22. (22)$

Enter the total adjusted prior year ad valorem proceeds of the principal authority, all dependent special districts, and MSTUs levying a millage. (The sum of Line 13 from all DR-420 forms)

23. Current year aggregate rolled-back rate (Line 22 divided by Line 15, multiplied by 1,000) (23)per $1,000

24. (24)$Current year aggregate rolled-back taxes (Line 4 multiplied by Line 23, divided by 1,000)

25. (25)$Enter total of all operating ad valorem taxes proposed to be levied by the principal taxing authority, all dependent districts, and MSTUs, if any. (The sum of Line 18 from all DR-420 forms)

(26)Current year proposed aggregate millage rate (Line 25 divided by Line 4, multiplied by 1,000)

per $1,000

(27)Current year proposed rate as a percent change of rolled-back rate (Line 26 divided by Line 23, minus 1, multiplied by 100)

%

S

I

G

N

H

E

R

E

Taxing Authority Certification

I certify the millages and rates are correct to the best of my knowledge. The millages comply with the provisions of s. 200.065 and the provisions of either s. 200.071 or s. 200.081, F.S.

Date :





First public

budget hearing

Date : Time : Place :

27.

26.

Signature of Chief Administrative Officer :

0.6677

6:00 PM EST


9/10/2015

0.6249

5618351956

✔

7/23/2015 2:36 PM

102,176,959

✔


95,627,350

BILL COSGROVE, CFO

✔

5617407000 ext 2153BOYNTON BEACH, FLORIDA 33426

6.85

94,131,348


2300 High Ridge Road Boynton Beach Florida 33426


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Exhibit I

MAXIMUM MILLAGE LEVY CALCULATION

PRELIMINARY DISCLOSURE For municipal governments, counties, and special districts

DR-420MM-P R. 5/12


Effective 11/12

Year: County:

Principal Authority : Taxing Authority:

1. (1)Is your taxing authority a municipality or independent special district that has levied ad valorem taxes for less than 5 years? Yes No

IF YES, STOP HERE. SIGN AND SUBMIT. You are not subject to a millage limitation.

2. (2)per $1,000Current year rolled-back rate from Current Year Form DR-420, Line 16

3. Prior year maximum millage rate with a majority vote from 2014 Form DR-420MM, Line 13 per $1,000 (3)

4. (4)per $1,000Prior year operating millage rate from Current Year Form DR-420, Line 10

If Line 4 is equal to or greater than Line 3, skip to Line 11. If less, continue to Line 5.

Adjust rolled-back rate based on prior year majority-vote maximum millage rate

5. (5)Prior year final gross taxable value from Current Year Form DR-420, Line 7 $

6. (6)$Prior year maximum ad valorem proceeds with majority vote (Line 3 multiplied by Line 5 divided by 1,000)

7. (7)$Amount, if any, paid or applied in prior year as a consequence of an obligation measured by a dedicated increment value from Current Year Form DR-420 Line 12

8. (8)Adjusted prior year ad valorem proceeds with majority vote (Line 6 minus Line 7) $

9. Adjusted current year taxable value from Current Year form DR-420 Line 15 $ (9)

10. Adjusted current year rolled-back rate (Line 8 divided by Line 9, multiplied by 1,000) per $1,000 (10)

Calculate maximum millage levy

11. (11)Rolled-back rate to be used for maximum millage levy calculation (Enter Line 10 if adjusted or else enter Line 2) per $1,000

12. Adjustment for change in per capita Florida personal income (See Line 12 Instructions) (12)

13. Majority vote maximum millage rate allowed (Line 11 multiplied by Line 12) (13)per $1,000

14. Two-thirds vote maximum millage rate allowed (Multiply Line 13 by 1.10) per $1,000 (14)

15. Current year proposed millage rate per $1,000 (15)

16. (16)Minimum vote required to levy proposed millage: (Check one)

a. Majority vote of the governing body: Check here if Line 15 is less than or equal to Line 13. The maximum millage rate is equal to the majority vote maximum rate. Enter Line 13 on Line 17.

b. Two-thirds vote of governing body: Check here if Line 15 is less than or equal to Line 14, but greater than Line 13. The maximum millage rate is equal to proposed rate. Enter Line 15 on Line 17.

c. Unanimous vote of the governing body, or 3/4 vote if nine members or more: Check here if Line 15 is greater than Line 14. The maximum millage rate is equal to the proposed rate. Enter Line 15 on Line 17.

d. Referendum: The maximum millage rate is equal to the proposed rate. Enter Line 15 on Line 17.

17. The selection on Line 16 allows a maximum millage rate of (Enter rate indicated by choice on Line 16) (17)per $1,000

18. (18)Current year gross taxable value from Current Year Form DR-420, Line 4 $

Continued on page 2

PALM BEACH

0.7605

139,557,224,761


2015

✔

0

✔

0.6745

114,548,570

0.6677

153,028,244,853

1.0196

0.8208

0.7605


150,630,090,136

0.8529

114,548,570

Print Form

0.7754

0.7754

Reset Form

0.6249

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Exhibit I

DR-420MM-P R. 5/12 Page 2

19. Current year proposed taxes (Line 15 multiplied by Line 18, divided by 1,000) (19)$

20. (20)Total taxes levied at the maximum millage rate (Line 17 multiplied by Line 18, divided by 1,000) $

DEPENDENT SPECIAL DISTRICTS AND MSTUs STOP HERE. SIGN AND SUBMIT.

21. Enter the current year proposed taxes of all dependent special districts & MSTUs levying a millage . (The sum of all Lines 19 from each district's Form DR-420MM-P) $ (21)

22. Total current year proposed taxes (Line 19 plus Line 21) (22)$

Total Maximum Taxes

23. (23)Enter the taxes at the maximum millage of all dependent special districts & MSTUs levying a millage (The sum of all Lines 20 from each district's Form DR-420MM-P) $

24. Total taxes at maximum millage rate (Line 20 plus Line 23) (24)$

Total Maximum Versus Total Taxes Levied

25. Are total current year proposed taxes on Line 22 equal to or less than total taxes at the maximum millage rate on Line 24? (Check one) YES NO (25)

S

I

G

N

H

E

R

E

Taxing Authority CertificationI certify the millages and rates are correct to the best of my knowledge. The millages comply with the provisions of s. 200.065 and the provisions of either s. 200.071 or s. 200.081, F.S.

Signature of Chief Administrative Officer : Date :




Complete and submit this form DR-420MM-P, Maximum Millage Levy Calculation-Preliminary Disclosure, to

your property appraiser with the form DR-420, Certification of Taxable Value.


Taxing Authority :

118,658,101


BOYNTON BEACH, FLORIDA 33426


0



0

7/23/2015 2:36 PM


✔

102,176,959

118,658,101

56183519565617407000 ext 2153

102,176,959

BILL COSGROVE, CFO

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Exhibit I




2014/15 2015/16 INCREASE %APPROVED

BUDGETPROPOSED

BUDGET(DECREASE) DIFFERENCE

INCREASE (DECREASE)

REVENUES

AD VALOREM TAXES 94,363,181$ 102,176,959$ 7,813,778$ 8.28%GRANT INCOME Palm Beach County Head Start Match 4,100,000 3,100,000 (1,000,000) -24.39% JPB Foundation - 250,000 250,000 100.00% Department of Health/Agency for Health Care Administration 3,053,295 3,630,806 577,511 18.91%

Sub-Total Grant Income 7,153,295 6,980,806 (172,489) -2.41%

INTEREST INCOME 150,000 300,000 150,000 100.00%INCOME FROM TENANTS 70,000 70,000 - 0.00%OTHER INCOME 100,000 100,000 - 0.00%CASH BALANCES BROUGHT FORWARD 20,307,835 14,843,281 (5,464,554) -26.91%

TOTAL 122,144,311$ 124,471,046$ 2,326,735$ 1.90%

EXPENDITURES

CHILDREN'S PROGRAMS Direct Services 98,902,004$ 100,696,792$ 1,794,788$ 1.81% Support Services 9,632,419 9,781,767 149,348 1.55%

Sub-Total Children's Programs 108,534,423 110,478,559 1,944,136 1.79%

ADMINISTRATIVE EXPENSES 5,236,854 5,331,721 94,867 1.81%CAPITAL EXPENDITURES 400,000 250,000 (150,000) -37.50%NON OPERATING EXPENSES Palm Beach County Property Appraiser Fees 786,779 772,645 (14,134) -1.80% Palm Beach County Tax Collector Fees 1,866,864 2,029,274 162,410 8.70%

Sub-Total 2,653,643 2,801,919 148,276 5.59%

CONTINGENCY 500,000 500,000 - 0.00%

SUB-TOTAL EXPENDITURES 117,324,920 119,362,199 2,037,279 1.74%RESERVE FOR UNCOLLECTABLE TAX 4,819,391 5,108,848 289,457 6.01%

TOTAL 122,144,311$ 124,471,046$ 2,326,735$ 1.90%

PROPOSED MILLAGE RATE: 0.6677

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Exhibit II




REVENUES

AD VALOREM TAXES 102,176,959$ 83.90% ‐ 0.00% 102,176,959$ 82.09%GRANT INCOME Palm Beach County Head Start Match 3,100,000 2.55% - 0.00% 3,100,000 2.49% JPB Foundation 250,000 0.21% - 0.00% 250,000 0.20% Department of Health/Agency for Health Care Administration 3,630,806 2.98% - 0.00% 3,630,806 2.92%

Sub-Total Grant Income 6,980,806 5.73% - 0.00% 6,980,806 5.61%

INTEREST INCOME 300,000 0.25% - 0.00% 300,000 0.24%INCOME FROM TENANTS 70,000 0.06% - 0.00% 70,000 0.06%OTHER INCOME 100,000 0.08% - 0.00% 100,000 0.08%TRANSFER IN (OUT) (2,682,701) -2.20% 2,682,701 100.00% - 0.00%

CASH BALANCES BROUGHT FORWARD 14,843,281 12.19% - 0.00% 14,843,281 11.93%

TOTAL 121,788,345$ 99.94% 2,682,701$ 100.00% 124,471,046$ 100.00%

EXPENDITURES

CHILDREN'S PROGRAMS

Direct Services

Program Services 95,984,091$ 78.81% 2,682,701$ 100.00% 98,666,792$ 79.27% Special Funds and Other 95,000 0.08% - 0.00% 95,000 0.08% Public Education/Awareness 1,935,000 1.59% - 0.00% 1,935,000 1.55% Sub-total Direct Services 98,014,091 80.48% 2,682,701 100.00% 100,696,792 80.90%

Support Services

Programmatic Support Expenses 9,781,767 8.03% - 0.00% 9,781,767 7.86% Sub-total Support Services 9,781,767 8.03% - 0.00% 9,781,767 7.86%

Sub-Total Children's Programs 107,795,858 88.51% 2,682,701 100.00% 110,478,559 88.76%

ADMINISTRATIVE EXPENSES 5,331,721 4.38% - 0.00% 5,331,721 4.28%CAPITAL EXPENDITURES 250,000 0.21% - 0.00% 250,000 0.20%NON OPERATING EXPENSES Palm Beach County Property Appraiser Fees 772,645 0.63% - 0.00% 772,645 0.62% Palm Beach County Tax Collector Fees 2,029,274 1.67% - 0.00% 2,029,274 1.63%

Sub-Total Non Operating Expenses 2,801,919 2.30% - 0.00% 2,801,919 2.25%CONTINGENCY 500,000 0.41% - 0.00% 500,000 0.40%

SUB-TOTAL EXPENDITURES 116,679,498 95.81% 2,682,701 100.00% 119,362,199 95.90%

RESERVE FOR UNCOLLECTABLE TAX 5,108,848 4.19% - 0.00% 5,108,848 4.10%

TOTAL 121,788,345$ 100.00% 2,682,701$ 100.00% 124,471,046$ 100.00%

MILLAGE RATE: 0.6677

FOR CHILDREN, INC. TOTAL BUDGET

GENERAL FUND SPECIAL REVENUE FUND

PREVENTION PARTNERSHIPS 2015 - 2016

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Exhibit III




Allocations to Children's Programs:

Quality Childcare Programs

Research Specialist 92,086

Technical Assistance Specialists 1,670,381

Tier Payments 870,234

Bridges Liaison 50,000

Total Quality Childcare Programs 2,682,701

Total Allocations to Children's Programs 2,682,701

Total Budget 2,682,701$

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Exhibit III





SALARIES 386,940 1,021,385 1,142,069 3,776,004 647,423 967,506 7,941,325 ‐

TEMPORARY PERSONNEL ‐ ‐ ‐ 15,000 ‐ ‐ 15,000 ‐

FRINGE BENEFITS ‐ A. FICA 19,196 62,735 67,281 232,358 38,807 58,381 478,758 B. FICA MED 5,611 14,809 16,560 54,752 9,388 14,029 115,149 C. FL Unemployment 5,340 14,095 15,761 52,109 8,934 13,352 109,591 D. Workers' Comp 624 2,704 3,120 11,232 1,664 2,288 21,632 E. Health Plan 90,105 246,007 286,381 1,108,235 193,237 273,302 2,197,266 F. Retirement 52,081 141,037 157,914 436,002 73,458 114,131 974,623 G. Long Term Disability 844 3,659 4,221 15,197 2,251 3,096 29,268 H. Tuition Reimbursement 65,000 ‐ ‐ ‐ ‐ 65,000 J. Retirement Health Savings 3,745 16,227 18,724 67,405 9,986 13,731 129,817 K. Short Term Disability 727 3,148 3,633 13,077 1,937 2,664 25,186 L. Other Fringe Benefits 3,600 15,600 18,000 64,800 9,600 13,200 124,800 Total Fringe Benefits 181,872 585,020 591,595 2,055,167 349,262 508,174 4,271,090

TOTAL PERSONNEL 568,812 1,606,405 1,733,663 5,846,171 996,685 1,475,679 12,227,415

TRAVEL A. Local Mileage 1,500 750 3,200 5,000 2,500 500 13,450 B. Staff Development / CSC Business‐Related Travel 12,000 44,100 28,000 109,580 18,000 20,000 231,680 C. Council Member Travel 3,000 ‐ ‐ ‐ ‐ ‐ 3,000 D. Business Expense 3,000 ‐ ‐ ‐ ‐ ‐ 3,000 TOTAL TRAVEL 19,500 44,850 31,200 114,580 20,500 20,500 251,130

BUILDING SPACE A. Maintenance & Security 11,538 49,999 57,692 207,694 30,769 42,308 400,000 B. Offsite Storage ‐ ‐ ‐ 2,000 ‐ ‐ 2,000 C. Utilities 5,769 25,001 28,846 103,845 15,385 21,154 200,000 D. Emergency Maintenance Fund 1,442 6,250 7,212 25,962 3,846 5,288 50,000 E. Quantum Park Fees and Assessments 346 1,499 1,730 6,234 923 1,269 12,001 F. Real Estate Taxes Quantum Park 1,731 7,501 8,654 31,153 4,615 6,346 60,000 TOTAL BUILDING SPACE 20,826 90,250 104,134 376,888 55,538 76,365 724,001

COMMUNICATIONS A. Telecommunications 1,442 6,252 7,212 25,960 3,846 5,288 50,000 B. Postage ‐ ‐ 17,000 ‐ ‐ ‐ 17,000 2015 Tax Notices ‐ 7,600 ‐ ‐ ‐ 7,600 Total Postage ‐ ‐ 24,600 ‐ ‐ ‐ 24,600 TOTAL COMMUNICATIONS 1,442 6,252 31,812 25,960 3,846 5,288 74,600

PRINTING & SUPPLIES A. Supplies 1,240 5,374 6,201 22,330 3,308 4,548 43,001 B. Meeting Supplies 1,400 5,200 500 5,000 500 400 13,000 C. Computer Supplies ‐ ‐ ‐ ‐ 20,000 20,000 D. Printing 200 500 300 400 100,000 1,600 103,000 E. Photography/Video ‐ ‐ ‐ 50,000 ‐ 50,000

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Exhibit IV





TOTAL PRINTING & SUPPLIES 2,840 11,074 7,001 27,730 153,808 26,548 229,001

OTHER EXPENSES A. Purchase of Service 1. Legal 43,000 ‐ ‐ ‐ ‐ ‐ 43,000 2. Audit ‐ 60,400 ‐ ‐ ‐ 60,400 3. Consulting 100,000 74,000 ‐ 200,000 25,000 50,000 449,000 4. Inspector General Fee 78,302 78,302 ‐ ‐ ‐ 156,604 B. Insurance 200,000 ‐ ‐ ‐ ‐ ‐ 200,000 C. Staff Development ‐ In House 64,000 ‐ ‐ ‐ ‐ 64,000 D. Dues 130,000 6,800 2,500 5,000 2,000 500 146,800 E. Background Checks/Fingerprinting 2,000 ‐ ‐ ‐ ‐ 2,000 F. Subscrip/Publications 1,000 14,700 1,500 3,000 500 2,000 22,700 G. Public Notices & Employment Ads 12,000 ‐ ‐ ‐ ‐ 12,000 H. Copier Equipment 2,019 8,750 10,096 36,346 5,385 7,404 70,000 I. Computer Maint & Support ‐ ‐ ‐ ‐ 277,336 277,336 J. Planning & Policy Issues 75,000 ‐ ‐ ‐ ‐ ‐ 75,000 K. Banking Services ‐ ‐ 25,000 ‐ ‐ ‐ 25,000 L. Service Awards & Recognition 3,500 ‐ ‐ ‐ ‐ 3,500 TOTAL OTHER EXPENSES 551,019 264,052 177,798 244,346 32,885 337,240 1,607,340 TOTAL ADMINISTRATIVE EXPENSES 1,164,439 2,022,883 2,085,608 6,635,675 1,263,262 1,941,620 15,113,487

CAPITAL EXPENSES A. Furniture & Equipment ‐ 31,250 ‐ ‐ ‐ ‐ 31,250 B. Computer Hardware ‐ ‐ ‐ ‐ ‐ 125,000 125,000 C. Computer Software ‐ ‐ ‐ ‐ ‐ 62,500 62,500 D. Building Improvements ‐ 31,250 ‐ ‐ ‐ ‐ 31,250 TOTAL CAPITAL EXPENSES 62,500 ‐ ‐ ‐ 187,500 250,000

NON OPERATING EXPENSES A. Property Appraiser Fee 772,645 ‐ ‐ ‐ ‐ ‐ 772,645 B. Tax Collector Fee 2,029,274 ‐ ‐ ‐ ‐ ‐ 2,029,274 TOTAL NON‐OPERATING EXPENSES 2,801,919 2,801,919

ALLOCATIONS CHILDREN'S PROGRAMS AND SPECIAL SERVICES

A. Direct Funded Programs and Initiatives ‐ ‐ ‐ 95,984,091 ‐ ‐ 95,984,091 B. Healthy Safe & Strong Fund ‐ ‐ ‐ ‐ 50,000 ‐ 50,000 C. Lobbying/Legislative Issues ‐ ‐ ‐ ‐ 45,000 ‐ 45,000 D. Public Education ‐ ‐ ‐ 575,000 1,360,000 ‐ 1,935,000 TOTAL ALLOCATIONS CHILDREN'S PROGRAMS AND SPECIAL SERVICES ‐ ‐ ‐ 96,559,091 1,455,000 ‐ 98,014,091

CONTINGENCY 500,000 500,000

RESERVE FOR UNCOLLECTABLE TAX 5,108,848 ‐ ‐ ‐ ‐ ‐ 5,108,848

TOTAL BUDGET 9,575,206 2,085,383 2,085,608 103,194,766 2,718,262 2,129,120 121,788,345

Budget: Administrative Expenses 1,164,439 1,847,630 852,862 301,573 543,652 621,565 5,331,721 Budget: Capital Expenses 62,500 ‐ ‐ ‐ 187,500 250,000

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Exhibit IV

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Budget: Children's Program: Direct Services ‐ ‐ 96,559,091 1,455,000 ‐ 98,014,091 Budget: Children's Program: Support Services 175,253 1,232,746 6,334,102 719,610 1,320,055 9,781,767 Budget: Non‐Operating Expenses 8,410,767 ‐ ‐ ‐ ‐ ‐ 8,410,767

TOTAL BUDGET 9,575,206 2,085,383 2,085,608 103,194,766 2,718,262 2,129,120 121,788,345

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Exhibit IV


1. Breakdown of Divisions/Departments The budget is developed reflecting the functional and program operations within CSC. The

functional and program operations as they appear on the detailed budget document are:

A. Executive Administration - reflects the costs associated with the CEO function and

Administration of the Children's Services Council, such as legal fees, insurance, the non-

operating expenses for the Property Appraiser and Tax Collector and organizational

consultants.

B. Talent & Operations - consists of the Operations, Human Resources, Project Management

and Talent Management departments.

C. Finance - Consists of the Accounting, Budget Oversight and Audit departments.

D. Program Services - Reflects the costs associated with the funded programs and initiatives

such as Provider Professional Development, Healthy Beginnings, Quality Early Care and

Education, Bridges, and Initiatives. This d iv is ion a lso ref lects the costs associated

wi th Knowledge Management. In addition to funding from ad-valorem tax revenue there

is financial support for the programs and initiatives. This support comes from the Department of

Health and the Agency for Heal th Care Administrat ion through the Healthy Start

Coalition as well as from the Palm Beach County Head Start Match.

E. Communications- Reflects the costs associated with the Communications department.

F. Information Management- Reflects the costs associated with the Information Management

department.

2. Personnel

The proposed 2015/16 fiscal year budget contains funding for 104 approved positions and a 3%

total merit pool in correlation with staff performance evaluations. .5% is also provided for

promotional opportunities.

Fringe benefits are calculated at existing rates for FICA, Medicare and Florida Unemployment.

Retirement is calculated at 10% of eligible salaries for employees hired on or after January 1,

2012. This percentage is based on the maximum exposure if a match

is made depending on the employee’s contribution. Prior to a hiring date of January 1, 2012,

retirement is calculated at 13% of eligible salaries for employees employed ten years or less,

15% of eligible salaries for employees employed between eleven and fifteen years, 17% for

employees employed between sixteen and twenty years, and 19% for employees employed

twenty years or more.

Workers' Compensation is calculated based on the formula supplied by CSC's insurance broker.

Based on input from CSC's insurance broker and historical trends, health plan premiums have

been projected at 15% over 2014/15 fiscal year rates to maintain coverage at existing levels.

Long Term Disability premiums are projected based on the rate that was provided by the carrier.

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Exhibit V

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Tuition reimbursements have been estimated based on anticipated usage for the 2015/16 fiscal

year.

Retirement Health Savings reflects the estimated amount needed for this benefit.

Other Fringe Benefits provides for enhancements or additions to the current benefit package

offered by CSC and supports health related items.

3. Travel

The local mileage reimbursement rate is projected at $0.575 per mile based on the Internal

Revenue Service standard mileage rate for 2015. The mileage traveled for each position has

been projected based on historical data.

Staff Development / CSC business-related travel - Staff development reflects the expenses

associated with CSC staff achieving their development plans. CSC business-related travel

reflects the costs associated with CSC staff and Provider agency staff traveling on CSC related

business. An amount has also been budgeted to provide for the costs of staff attendance at

business meetings taking place outside of Palm Beach County.

Council member travel is included to cover the costs relating to travel by Council members on

CSC related business.

4. Building Space

Amounts have been budgeted for Maintenance and Security based on contracts that have been

entered into for those services at the 2300 High Ridge Road building as well as actual

expenditures incurred through the normal operation of the building. An additional $50,000 is

budgeted to provide for emergency repairs not covered under maintenance agreements. The


employees.

Offsite storage costs reflect the expenses related to the storage of historical data at a third party

location.

Utilities are based on projected actual usage and historical data. The amount budgeted is

allocated by department based on the number of full-time equivalent (FTE) employees.

Quantum Park fees cover the costs charged by the Quantum Park Association. The amount

budgeted is allocated by department based on the number of full-time equivalent (FTE)

employees.

5. Communications

Telecommunication expenses are budgeted based on amounts being billed by various vendors

for this item and reflect the costs associated with all telecommunication related expenses. The


employees.

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Exhibit V


Postage includes the costs for routine mailings as well as amounts projected for costs associated

with the mailing of special reports produced by CSC. The amount budgeted is allocated by

department based on the number of full-time equivalent (FTE) employees.

The cost of mailing the 2015 tax notices has been included as an expenditure in conformity with

legislation which requires each taxing authority to reimburse the tax collector for their

proportionate share of postage.

6. Printing & Supplies

The anticipated costs for these items are based on planned expenditures, historical information,

and projected price increases. Supplies includes anything related to office supplies, program

supplies, meeting supplies, training supplies and/or computer supplies.

Printing reflects the projected costs of producing various reports and newsletters. Additional

amounts have been provided to cover projected costs associated with various documents

produced in accordance with the CSC publication plan that has been developed.

Photography/video costs are expenses associated with the communications department and the

public education/awareness of program services.

7. Other Expenses

Legal expenses reflect actual expenses incurred resulting from CSC's various legal issues.

Audit reflects the projected amounts for the annual audit.

Consulting has been budgeted under various divisions as follows:

o Executive Administration – Consultants may be used to provide consulting services

related to public policy issues.

o Talent & Operations - Consultants may be used for leadership and organizational

learning services as well as for administrative services related to the facilities.

o Program Services – Research consultants will be engaged to do research as it relates to

cost benefit analysis and special projects. Consultants may be used for evidence-based

trainings and the variety of other training programs offered by CSC. Consultants are

engaged to provide feedback as to the feasibility of bringing evidence-based programs to

Palm Beach County as well as to assist in the evaluation of initiatives.

o Information - Consultants may be used to assist Information Management in the

maintenance and training of various databases and the equipment necessary to maintain

these programs.

o Communications - Consultants may be used to assist Communications in the use of

language translations.

The following are descriptions of the other items budgeted under the "Other Expenses" cost category:

The Inspector General fee is a charge for the Inspector General to review CSC’s policies and

procedures.

Insurance is made up of expenses related to non-benefit insurance premiums.

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Exhibit V


Staff Development is budgeted to cover the costs associated with training activities designed to

enhance CSC staff knowledge and skills to support funded programs.

Dues reflect the costs of memberships to various organizations to which CSC belongs.

Background checks/fingerprinting are made up of background checks and fingerprinting

expenses related to employees.

Subscriptions & Publications reflect the costs of various "trade" magazines, journals, curriculums,

videos, and books.

Public Notices and Employment Advertising include the cost of required advertising for public

meetings and other CSC activities as well as costs associated with recruitment of CSC staff

positions.

Copier equipment reflects the cost of maintaining and leasing CSC's copier equipment. The


employees.

Computer maintenance and support is provided to cover the costs of support for various software

programs as well as the repair of the system for those items no longer covered by the

manufacturer's warranty period.

Banking services cover the costs of bank and credit card fees.

Service Awards and Recognition cover the costs associated with awards and recognition to

individuals and/or groups for their accomplishments and contributions to the work of the

Children’s Services Council.

8. Capital Expenditures

Capital Expenditures reflect the costs associated with the purchase or upgrade of furniture and

equipment items and the costs of replacing and increasing CSC's information and data processing

technology. The costs associated with these items are summarized as follows:

Furniture & Equipment $31,250

Computer Hardware $125,000

Computer Software $62,500

Building Improvements $31,250

Total $250,000

9. Non-operating expenses

These expenses have been calculated based on the proposed millage rate for the Tax

Collector and the estimated fee provided by the Property Appraiser.

10. Allocations

The total proposed allocation to children's programs and initiatives is approximately $100,696,792.

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Exhibit V


11. Contingencies

An amount totaling $500,000 has been budgeted.

12. Reserve for Uncollectable Tax

A 5% reserve has been established to provide for the projected difference in the amount of tax levied

and the amount actually collected.

13. Ad Valorem Tax

Revenue was calculated based on a projected increase in the total tax base within Palm Beach County

offset by a reduction in the proposed millage rate. The millage rate is being reduced to .6677 for the

2015/16 fiscal year.

14. Grant Income

Grant income is budgeted to reflect grant income from Federal, State and Local dollars through the

Department of Health and Agency of Heal th Care Adminis trat ion through the Healthy Start

Coalition to support CSC's operation of several Healthy Beginnings programs, Palm Beach County to

support the Head Start program and the JPB Foundation to support the evaluation of programs.

15. Other income

Other income reflects miscellaneous revenue.

16. Interest income

Interest income is projected based on current interest rate trends applied to average invested

balances.

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Exhibit V

BUDGET SUMMARYCHILDREN'S SERVICES COUNCIL OF PALM BEACH COUNTY

FISCAL YEAR 2015-2016

THE PROPOSED OPERATING BUDGET EXPENDITURES OF THE CHILDREN'SSERVICES COUNCIL OF PALM BEACH COUNTY ARE 1.9% MORE THAN LASTYEAR'S TOTAL OPERATING EXPENDITURES.

FIXED SPECIALGENERAL ASSET REVENUE TOTAL

FUND FUND FUND BUDGET

Balances Brought Forward from Prior Fiscal Years 14,593,281$ 250,000$ -$ 14,843,281$ ESTIMATED REVENUES

TAXES: Millage per $1000

Ad Valorem .6677 102,176,959 - - 102,176,959

GRANTS: Other Governmental Sources 6,980,806 - - 6,980,806 INTEREST EARNINGS: 300,000 - - 300,000 MISCELLANEOUS REVENUES: Tenant/Other Income 170,000 - - 170,000 Transfers In (Out) (2,682,701) - 2,682,701 - Total Revenues 106,945,064 - 2,682,701 109,627,765

Total Estimated Revenues and Balances 121,538,345$ 250,000$ 2,682,701$ 124,471,046$

EXPENDITURES/EXPENSES

Children's Programs Direct Services 98,014,091$ -$ 2,682,701$ 100,696,792$ Support Services 9,781,767 - - 9,781,767 Sub-total Children's Programs 107,795,858 - 2,682,701 110,478,559 Administrative Expenses 5,331,720 - - 5,331,720 Capital Expenditures 250,000 - 250,000 Allocation to Contingency Fund 500,000 - - 500,000 Non-operating Expenses 2,801,919 - - 2,801,919 Total Expenditures 116,429,497 250,000 2,682,701 119,362,198 Reserves 5,108,848 - - 5,108,848

Total Appropriated Expenditures and Reserves 121,538,345$ 250,000$ 2,682,701$ 124,471,046$

THE TENTATIVE, ADOPTED, AND/OR FINAL BUDGETS ARE ON FILE IN THE OFFICEOF THE ABOVE MENTIONED TAXING AUTHORITY AS A PUBLIC RECORD.

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Exhibit VI

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The Children's Services Council of Palm Beach County has tentatively adopted a

Last year's property tax levy:A. Initially proposed tax levy $94,363,181B. Less tax reductions due to Value Adjustment Board $231,833 and other assessment changesC. Actual property tax levy $94,131,348

This year's proposed tax levy: $102,176,959

held on:

A FINAL DECISION on the proposed tax increase and the budget will be made at this hearing.

at2300 High Ridge Road

Boynton Beach, FL 33426

NOTICE OF PROPOSED TAX INCREASE

All concerned citizens are invited to attend a public hearing on the tax increase to be

measure to increase its property tax levy.

Thursday, September 24, 20156:00 P.M.

Exhibit VI

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Fund Balance 09/30/2014 60,722,030$

Total projected revenues through 9/30/2015 100,977,895$

Projected expenditures through 9/30/2015

Total expenditures as of 7/31/2015 88,508,193

Projected strategy budget expenses July and August 12,978,405

Projected administrative expenses July and August 3,626,918

Total Projected expenditures through 9/30/2015 105,113,516

Projected revenues in excess of expenditures (4,135,621)

Projected Fund Balance 9/30/2015 56,586,409$

Fund Balance Detail 9/30/2014 9/30/2015

Non‐Spendable 203,056 250,000

Assigned Fund Balance

Subsequent year's expenses 20,307,835 14,843,281

Third Floor buildout 600,000 600,000

Reserved in Accordance with Fund Balance Policy 36,643,293 37,341,314

Total assigned per Audit Report (2014) 20,907,835

Unassigned (Audit report does not reflect fund balance policy as

assigned) 39,611,139 3,551,814

Fund Balance 9/30/2014 60,722,030

Projected Fund Balance 9/30/2015 56,586,409$

Children's Services Council of Palm Beach County

Forecasted Fund Balance

September 30,2015

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children’s services council of palm beach … · vince goodman greg langowski ... center for...

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